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diagnosis differential cardiology infectiousdiseases infective obstetrics acyclovir amenorrhea bcnie bloodculture bloodcultures chf clinical complications criticalcare empiric encephalitis foamed gestationalage gynecology
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 ... #Diagnosis #Management ... #Algorithm
Causes of Post-Partum Hemorrhage - Differential Diagnosis Algorithm Blood Loss: >500mL post vaginal delivery OR >1000 mL
Causes of Post-Partum ... Differential Diagnosis Algorithm ... delivery) • Uterine rupture ... #Causes #Obstetrics ... #OBGyn
Causes of Growth Discrepancy: Large for Gestational Age - Differential Diagnosis Algorithm Maternal Factors: • Multiparity •
Causes of Growth ... co-morbidities (e.g ... hemorrhage • Uterine rupture ... Genetic disorder (e.g ... #OBGyn
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm Absence of menses for more than 3 cycles or
<35 years old, e.g ... Hypothalamic - Negative ... • Functional (e.g ... Stalk Damage (e.g ... #Causes #OBGyn
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Coagulase-negative ... 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
Blood Culture-Negative ... Infective Endocarditis ... but important causes ... special stains (e.g ... #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
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
aureus, Coagulase-negative ... Negative: • Bartonella ... Septic emboli cause ... ↑ ESR, CRP • EKG ... Treat underlying cause
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 ... HSV PCR would cause ... is proposed: #Management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... have achieved negative ... the determined cause ... #differential #algorithm ... #management #cardiology
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