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diagnosis causes differential orthopedics jointpain treatment acyclovir antibiogram antibiotics bloodcultures candida candidemia candidiasis cardiology chronic deformity empiric encephalitis evaluation fungal
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures - Did they receive antibiotics prior
therapy - Number one ... cause of culture ... Eg: C. burnetii ... #Diagnosis #Management ... #Algorithm
Vascular Joint Pain - Differential Diagnosis Algorithm - Constant Pain (Ischemia) - Acute Onset -
Septic Embolism (e.g ... Fat Embolism (e.g ... fractured long bone ... Mycotic Aneurysm (e.g ... Vascular #JointPain #MSK
Chronic Joint Pain - Differential Diagnosis Algorithm Intra-Articular - Bone • Stress
Differential Diagnosis Algorithm ... Intra-Articular - Bone ... • Tendon Rupture ... • Fascitis (e.g ... Intraarticular #MSK
Candidemia Workup and Management - IDSA Guidelines 1) Antibiotics • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... Echinocandins (e.g ... Susceptibilities, Negative ... Eye exam within one ... clinical concern for endocarditis
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
90% of IE cases Culture ... • Coagulase-negative ... staphylococci Culture ... ↑ ESR, CRP • EKG ... #diagnosis #management
Bone Deformity / Limp - Differential Diagnosis Algorithm Infection • Septic Arthritis • Cortical Hypertrophy •
Bone Deformity / ... Disease • Patella (e.g ... ., Tendon Rupture ... • Dwarfism #Bone ... Deformity #Limp #MSK
Intern Pocket Cards - Antibiogram and Susceptibilities VRE - MRSA - GRAM POSITIVES - GRAM NEGATIVES -
POSITIVES - GRAM NEGATIVES ... (e.g., UTI, bacteremia ... (Use culture data ... If none, what is ... #antibiotics #management
The algorithm below shows how pre-test probability could be combined with various criteria to determine which
probability) and negative ... (~0.5%) and a negative ... probably much higher (e.g ... meningitis, so one ... is proposed: #Management
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... medical and surgical management
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
Diagnosis and Management ... Needle-shaped, negatively ... Ultrasound → double contour ... Dual-energy CT → MSU ... overhanging cortical bone
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