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I was wondering for this case, since we have to admit the patient and treat him with flucytosine and amphotericin b for 14 days, do we have to do interval histories everyday with the patient? Or is it ok to advance to Day 14 once we've done all of the management? Just wondering since it takes a lot of time to keep clicking "Interval history" while clicking OK for all of the culture orders and vitals that pop up.

Also, it says in the explanation that we start HAART after the first 8-10 weeks on Fluconazole after sending the patient home. Is it ok to start these right away after we get the ELISA and Western while the patient is admitted? Or is that considered bad practice?

Thanks guys!

once the pt gets better..just do interval history once a day till 14 days then send home.

start HAART later like it says.

Thanks, yeah I guess I'll just try to follow the explanation as best as I can.

don't concentrate too much on sending pt home...Pt management is more important

That makes sense, pretty good tip to keep in mind when I'm trying to think if I should do something.

I just did this case and only now I found out that you have to keep the patient in the hospital for 14 days. Are there any other diseases where you have to keep the patient in the hospital that long?

@hopetomatchsoon - I'm not sure, I just started the CCS bank and am doing them randomly. On the bright side, at least you found out now.

@img87 - In the UW CCS DVT case, #37, I can't seem to get the patient to acknowledge that he does feel better after starting him on enoxaparin and warfarin. The explanation says to check on him everyday for three days while following up on the PT/INR and CBC. Everytime that I check on him it says "he hopes the medication will help". Then the case ends when you get to Day 3. Any tips?

As long as you are doing the right management, its okay.. You won't be seeing every patient get better before 2 minute screen.