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cardiology infectiousdiseases fuo infective algorithm antibiotic arthritis bloodculture bradi bradycardia children chronic cnie comparison culture failure hepatology infections intermittent joint
Causes of blood culture negative infective endocarditis Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
culture negative ... infective endocarditis ... #Causes #differential ... #diagnosis #causes ... #Endocarditis #
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... • Typhus, gram-negative ... Non-Infectious Causes ... #Patterns #Differential ... #Diagnosis #intermittent
Blood Culture-Negative Infective Endocarditis (BCNIE) Definition: No etiology found after 3 separate blood cultures remain negative for
Infective Endocarditis ... but important causes ... BCNIE Diagnostic ... #Infective #Endocarditis ... #diagnosis #differential
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis • Infection: Extrapulmonary tuberculosis, Abscess, Endocarditis,
Causes of Fever ... Diagnosis • Infection ... tuberculosis, Abscess ... , Endocarditis, ... #Diagnosis #causes
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm Neoplasm: • NHL • Hodgkin's lymphoma • Leukemia • Solid
Causes of Fever ... Diagnosis Algorithm ... • Infectious endocarditis ... Osteomyelitis • Occult abscess ... #causes
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Coagulase-negative ... night sweats, fever ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... Persistent bacteremia/fevers
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
is required for diagnosis ... Clinical features: Fever ... Clinical features: Fever ... in up to 30% of cases ... common, Aortic root abscess
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential ... aureus, Coagulase-negative ... night sweats, fever ... Persistent bacteremia/fevers ... #Differential #
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Bradycardia - Differential ... Diagnosis Framework ... • Aortic Valve Endocarditis ... + Abscess • Sick ... #diagnosis #causes
Pyogenic liver abscess in children Common bacterial causes in children: • S.aureus • Strep spp • Enteric
Common bacterial causes ... • Enteric gram negative ... artery (e.g., endocarditis ... in those with concurrent ... #diagnosis #hepatology
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