2191 results
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
demonstrated by culture ... Definite IE - Clinical ... positive blood culture ... involvement - Echocardiogram ... #Endocarditis #diagnosis
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
Blood Culture Collection ... to obtain blood cultures ... drawing blood cultures ... warrant blood cultures ... infections, whose clinical
Stool Cultures - Indications in Diarrhea
Patient Categories to Order Stool Cultures On:
 • Persisting 1 week
Stool Cultures - ... to Order Stool Cultures ... positive stool culture ... iMedEducation #Stool #Cultures ... #Indications #diagnosis
Papillary Muscle Rupture on POCUS

See the "cracking whip"?  This is what papillary muscle rupture looks
Papillary Muscle Rupture ... papillary muscle rupture ... Papillary #Muscle #Rupture ... #Echocardiogram ... #POCUS #Clinical
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Peripheral blood cultures ... • Additional culture ... fever, positive cultures ... Internet Book of Critical ... #criticalcare #diagnosis
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
Negative Blood Cultures ... antibiotics prior to cultures ... Number one cause of culture ... BloodCultures #Diagnosis
Invasive Candidiasis (IC)

Diagnosis:
Culture:
 • Gold standard, but Slow (~2-3 days), 50% sensitivity
 • Blood Sample
 •
Candidiasis (IC) Diagnosis ... : Culture: • ... Sterile-site biopsy Non-culture-based ... Diseases Consults • Echocardiogram ... IC #antifungal #diagnosis
Endocarditis - Duke Criteria - Major and Minor

MAJOR CRITERIA: 
 - Persistently +ve blood culture for
Persistently +ve blood culture ... Positive blood cultures ... #Major #Minor #Diagnosis
Bandemia Overview

Normal: < 1%
Clinically significant: > 10%

Band neutrophils are slightly less mature than segmented neutrophils and
Normal: < 1% Clinically ... Differential Diagnosis ... counts may delay diagnosis ... likelihood of negative clinical ... #differential #diagnosis
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... concerning for cardiac rupture ... RJonesSonoEM #Rupture ... MyocardialInfarction #AMI #POCUS #Echocardiogram ... Cardiology #A4c #clinical