15 results
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
with Infective Endocarditis ... Did they receive antibiotics ... Decreased yield due to antibiotic ... this be a non-bacterial ... BloodCultures #Diagnosis
Infective endocarditis - etiology and sources of infection. 
 • Native and prosthetic 
valve endocarditis
 •
Infective endocarditis ... for TPN) and antibiotic ... Sources #Causes #Bacteria ... #Differential #Microbiology ... #Diagnosis #Pathogens
Infographic of common causes of acute otitis media and resistance mechanisms of these bacteria. 
Streptococcus pneumoniae
Haemophilus
mechanisms of these bacteria ... PenicillinBindingProtein #Resistance #microbiology ... #differential #diagnosis ... #antibiotics #EmpiricGame
SPICE (SPACE) Organisms
 - Colloquial acronym for gram-negative bacteria that have inducible, chromosomal beta-lactamase genes known
gram-negative bacteria ... to beta-lactam antibiotics ... Pseudomonas #Diagnosis ... #Microbiology # ... AmpC #Resistance #Antibiotics
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... suspect right-sided endocarditis ... course • Adjust antibiotics ... #checklist #criticalcare ... #diagnosis #management
SPICE (SPACE) Organisms

Gram-negative bacteria that have inducible, chromosomal beta-lactamase genes known as AmpC - Resistance may
Gram-negative bacteria ... Pseudomonas #Diagnosis ... #Microbiology # ... SPICE #SPACE #Bacteria ... AmpC #Resistance #Antibiotics
Causes of Antibiotic Failure - Differential Diagnosis Framework
Diagnosis:
 • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Causes of Antibiotic ... Bug: Atypical bacteria ... Treatment: • Antibiotic ... lines, osteo, endocarditis ... Kumfer @AnnKumfer #Antibiotic
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
, HD catheter, endocarditis ... Alcoholism, DM, HIV Microbiology ... dysfunction paralysis Diagnosis ... Surgical drainage - Antibiotics ... Epidural #Abscess #diagnosis
Intern Pocket Cards - Pre-Rounding Guide - Daily Checklist
Overnight Events:
 - Night float signout, nursing notes
Interdisciplinary
Guide - Daily Checklist ... preliminary or final Microbiology ... : - Bacterial ... glucose ranges) - Antibiotics ... #PreRounding #Checklist
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Hypercoagulable (APLAS) Microbiology ... Differential Diagnosis ... Diagnosis? ... • IV Antibiotics ... #diagnosis #management