13 results
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
from Infective Endocarditis ... -(rare), Valve dysfunction ... lines/indwelling catheters ... failure ++, Valve dysfunction ... Valve destruction/dysfunction
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
, endocarditis, ... epidural catheter ... bladder/ bowel dysfunction ... source: blood cultures ... Abscess #diagnosis #management
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
bloodstream infection - Management ... Algorithm • Temperature ... Obtain blood cultures ... metastatic infection (endocarditis ... #Algorithm #CRBSI
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
Culture Collection Algorithm ... Algorithm Source ... tract infection, endocarditis ... of indwelling catheters ... #Management #BloodCultures
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
with Infective Endocarditis ... Negative Blood Cultures ... #Infective #Endocarditis ... BloodCultures #Diagnosis #Management ... #Algorithm
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
substance use • IV catheter ... Microbiology: Blood cultures ... • Blood cultures ... Surgery: • Valvular dysfunction ... #diagnosis #management
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... Susceptibilities, Negative Cultures ... Central Venous Catheters ... clinical concern for endocarditis ... IDSA #Guidelines #Management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
with end organ dysfunction ... coagulation and cultures ... Insert urinary catheter ... Discuss ongoing management ... Checklist #Diagnosis #Management
SEPSIS AND SEPTIC SHOCK

DEFINITION AND PATHOPHYSIOLOGY
 • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
• Obtain cultures ... INITIAL MANAGEMENT ... ADVANCED MANAGEMENT ... e.g., abscess, catheter ... Shock #Diagnosis #Management
Evaluation and Management of Hyperkalemia

As with hypokalemia, the immediate danger of hyperkalemia is its effect on
Evaluation and Management ... efforts should focus ... underlying renal dysfunction ... Hyperkalemia #Evaluation #Algorithm