17 results
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
with Infective Endocarditis ... Did they receive antibiotics ... this be a non-bacterial ... BloodCultures #Diagnosis ... #Management #Algorithm
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
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
Antibiotic Management ... metastatic infection (endocarditis ... , epidural abscess ... limited vascular access ... Algorithm #CRBSI #diagnosis
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 ... #diagnosis #management
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... and Management ... Management: • ... Pathogens: • Aerobic Bacteria ... • Anaerobic Bacteria
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
Streptocccus Pneumoniae Microbiology ... cause of: CAP, Bacterial ... peritonitis, and endocarditis ... Diagnosis: • Physical ... #diagnosis #management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
• Myocardial abscess ... course • Adjust antibiotics ... • Aggressive management ... #criticalcare #diagnosis ... #management
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
In general, we expand antibiotics too soon in cellulitis, as clinical response (e.g. reduction in edema/erythema,
general, we expand antibiotics ... control (e.g. abscess ... venous stasis or arterial ... ) alternative diagnosis ... #EBM #ID #Management
Causes of Antibiotic Failure - Differential Diagnosis Framework
Diagnosis:
 • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Causes of Antibiotic ... Framework Diagnosis ... Bug: Atypical bacteria ... Source control (abscess ... lines, osteo, endocarditis