6 results
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
therapy - Number one cause ... of culture negative ... Eg: C. burnetii ... BloodCultures #Diagnosis #Management ... #Algorithm
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue ... Infectious • Endocarditis ... Pulmonary Disease Neurologic ... • Drug Abuse (e.g ... #causes
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Culture (+): ... Septic Emboli Cause ... ↑ ESR, CRP • EKG ... Treat underlying cause ... #diagnosis #management
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
Infective Endocarditis ... but important causes ... factors: - Serology ... special stains (e.g ... Negative #Infective #Endocarditis
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Torsades de Pointes - Management ... Algorithm Drugs ... • Prevents future ... 1b (lidocaine)- case ... #Algorithm
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Management of Convulsive ... electrolytes, blood culture ... Epilepticus #seizure #Management ... #neurology #pediatrics ... #peds #algorithm