\documentclass[10pt,a4paper]{article}

% Packages
\usepackage{fancyhdr}           % For header and footer
\usepackage{multicol}           % Allows multicols in tables
\usepackage{tabularx}           % Intelligent column widths
\usepackage{tabulary}           % Used in header and footer
\usepackage{hhline}             % Border under tables
\usepackage{graphicx}           % For images
\usepackage{xcolor}             % For hex colours
%\usepackage[utf8x]{inputenc}    % For unicode character support
\usepackage[T1]{fontenc}        % Without this we get weird character replacements
\usepackage{colortbl}           % For coloured tables
\usepackage{setspace}           % For line height
\usepackage{lastpage}           % Needed for total page number
\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{Lindsaymc8}
\pdfinfo{
  /Title (pulmon.pdf)
  /Creator (Cheatography)
  /Author (Lindsaymc8)
  /Subject (Pulmon Cheat Sheet)
}

% Lengths and widths
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\renewcommand{\headrulewidth}{0pt} % Remove header line
\renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit
% This two commands together give roughly
% the right line height in the tables
\renewcommand{\arraystretch}{1.3}
\onehalfspacing

% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
\newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols
\newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns
\newcommand{\tn}{\tabularnewline} % Required as custom column type in use

% Font and Colours
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\definecolor{FootBackground}{HTML}{666666}
\definecolor{TextColor}{HTML}{333333}
\definecolor{DarkBackground}{HTML}{CF30B9}
\definecolor{LightBackground}{HTML}{FCF2FA}
\renewcommand{\familydefault}{\sfdefault}
\color{TextColor}

% Header and Footer
\pagestyle{fancy}
\fancyhead{} % Set header to blank
\fancyfoot{} % Set footer to blank
\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Pulmon Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Lindsaymc8} via \textcolor{DarkBackground}{\uline{cheatography.com/201009/cs/42494/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Lindsaymc8 \\
  \uline{cheatography.com/lindsaymc8} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 23rd February, 2024.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{\{\{nobreak\}\} COMMUNITY - ACQUIRED PNEUMONIA (CAP)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\emph{strep pneumoniae}} \{\{ac\}\}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{\{\{nobreak\}\} {\bf{HEALTHY OUTPATIENT ADULTS NO COMORBIDITIES:}} \{\{nl\}\} Amoxicillin 1 g TID - BEST EVIDENCE} \tn 
% Row Count 4 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Penicillin ALRG:}} \{\{nl\}\} Doxycycline 100 mg BID \{\{nl\}\} Clarithromycin 500 mg BID \{\{nl\}\} Azithromycin 500 mg x1 then 250 mg QD \{\{nl\}\}} \tn 
% Row Count 7 (+ 3)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{\{\{nobreak\}\} {\bf{OUTPATIENT ADULTS W COMORBIDITIES: }} \{\{nl\}\} Augmentin \& Macrolide (azithromycin; calrithromycin) \{\{nl\}\} {\bf{OR}} Doxycycline} \tn 
% Row Count 10 (+ 3)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Pneumonia Prevention: Vaccinate}} \{\{nl\}\} Pneumococcal - 65y\{\{fa-long-arrow-up\}\}; 19-64y\{\{fa-plus\}\}comorbidities} \tn 
% Row Count 13 (+ 3)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{\textasciicircum{}General rule: you want to give the abx for at least 48h after you have achieved symptom resolution. So minimum CAP TX is 5d if symptoms mod-severe 7 days!\textasciicircum{}} \tn 
% Row Count 17 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.73735 cm} x{2.23965 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{DIFFERENTIAL DX: COUGH}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{\{\{ac\}\} {\bf{CLUES TO DX}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
"chest tightness" & asthma, cardiac ischemia \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
"suffocating" & pulmonary edema \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
"increase work to breath" & COPD, asthma myopathy \tn 
% Row Count 6 (+ 2)
% Row 4
\SetRowColor{LightBackground}
"air hungry" & HF, PE, asthma, COPD \tn 
% Row Count 8 (+ 2)
% Row 5
\SetRowColor{white}
"winded" OR "breathing heavy" & deconditioning \tn 
% Row Count 10 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.58804 cm} x{2.38896 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{COPD}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Differential DX}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\{\{nobreak\}\} Chronic Bronchitis & NML spirometry \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Asthma} \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
Bronchiectasis & CT bronchial wall thickening \tn 
% Row Count 6 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Heart Failure & Dilated heart on CXR \tn 
% Row Count 8 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{PE} \tn 
% Row Count 9 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Tuberculosis} \tn 
% Row Count 10 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{I will confirm COPD w {\bf{Spirometry}}}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\emph{FEV1/FVC}} post-bronchodilation less than 0.7 confirms COPD% Row Count 2 (+ 2)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{0.58478 cm} x{1.08602 cm} x{1.2531 cm} x{1.2531 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{4}{x{5.377cm}}{\bf\textcolor{white}{COPD Prescribing "ABE"}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{nobreak\}\} Group A & \{\{nobreak\}\} LAMA or LABA + SABA prn & \{\{nobreak\}\} Tiotropium qd + Albuterol prn & \{\{nobreak\}\} Formoterol qd + Albuterol prn \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
\{\{nobreak\}\} Group B & LAMA \&/or LABA + SABA prn & \{\{nobreak\}\} &  \tn 
% Row Count 8 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}----}
\SetRowColor{LightBackground}
\mymulticolumn{4}{x{5.377cm}}{Group A \& B do not have to be hospitalized}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}----}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}