14 results
Oroya Fever
Hematologic disease caused by Bartonella bacilliformis
Restricted to the Andes highlands of Peru & Ecuador
B. bacilliformis:
Hematologic disease caused ... by Bartonella bacilliformis ... fever, malaise, chills ... Nodular → Mular DIAGNOSIS ... TREATMENT: ​• Acute
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 • Shed in the urine, feces, saliva of
Prodrome: fever, chills ... +/- diarrhea Diagnosis ... • Autopsy PCR Treatment ... #Hantavirus #diagnosis ... #management #treatment
Hepatic Encephalopathy - Diagnosis and Management Summary
Definition:
 • Alteration in brain function manifested by neuropsychiatric symptoms
neuropsychiatric symptoms • Caused ... rule out other causes ... span, Impaired addition ... Initiate empiric treatment ... #Management #treatment
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
• Most common cause ... media • Important cause ... Diagnosis: • Physical ... Specificity of 97%) Treatment ... • Macrolide (addition
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
• Most common cause ... 38 degrees • Chills ... hemorrhage • Treatment ... #differential #causes ... #management #treatment
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Culture (-): • Bartonella ... Generalized: • Chills ... Septic Emboli Cause ... Differential Diagnosis ... Treat underlying cause
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Chronic inflammation causes ... Fevers and/or chills ... Most Common Causes ... parenchyma Diagnosis ... mycobacteria Treatment
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
of a previously diagnosed ... No specific diagnostic ... Fever, chills, lack ... unintentional weight loss, nausea ... Herpes simplex • Bartonella
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
nutrients • TPN for treatment ... Gastric bypass causes ... excluded limb • Treatment ... Alcohol misuse and addiction ... gastroenterology #diagnosis
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
1 - subjective chills ... last ½ hour • 2 - nausea ... Hospital Opioid Use Treatment ... Buprenorphine #Score #Diagnosis ... #Addiction #Nursing