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BUMC Basics.pdf - Anesthesia Home

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Histoplasmosis<br />

HIV<br />

64<br />

Urine histo antigen, LDH.<br />

HIV (Multidrug-resistant) HIV genotype<br />

Acute retroviral syndrome: Order<br />

HIV PCR for viral load and CD4<br />

count.<br />

Chronic illness or AIDS: HIV<br />

antibody/CD4 count.<br />

Meningitis Blood cultures x2, CT head without<br />

contrast to r/o mass effect before<br />

LP (if indicated), LP: opening<br />

pressure, CSF gram stain and<br />

culture, Cell count with diff,<br />

Glucose, Protein.<br />

Osteomyelitis<br />

Pneumonia (Communityacquired)<br />

Pneumonia<br />

(immunocompromised)<br />

Also consider if indicated: CSF for<br />

acid fast stain/culture, fungal<br />

stain/culture, cryptococcal antigen,<br />

HSV/VZV/Enteroviral/CMV/West<br />

Nile PCR, Lyme IgG/IgM<br />

antibodies, VDRL, cytology, Serum<br />

Toxo IgG/IgM HIV test, RPR, ANA,<br />

RF<br />

Blood cultures x2, surgical<br />

sampling/needle biopsy (not swab<br />

of sinus tract or fistula), MRI (most<br />

Se and Sp)<br />

CXR, blood cultures x2, Sputum<br />

gram stain and culture, Urine<br />

Legionella antigen, Urine Strep<br />

Pneumo antigen, Rapid influenza<br />

nasal swab; consider HIV test<br />

All under CAP plus Blood fungal<br />

culture, Induced sputum for silver<br />

stain (PCP), sputum fungal<br />

stain/culture, sputum for acid fast<br />

bacilli stain/culture (TB),

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