1321 results
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
demonstrated by culture ... Definite IE - Clinical ... Positive blood cultures ... positive blood culture ... involvement - Echocardiogram
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 ... infections, whose clinical ... #Management #BloodCultures
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Peripheral blood cultures ... • Additional culture ... • Aggressive management ... Internet Book of Critical ... criticalcare #diagnosis #management
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
Invasive Candidiasis (IC)

Diagnosis:
Culture:
 • Gold standard, but Slow (~2-3 days), 50% sensitivity
 • Blood Sample
 •
Diagnosis: Culture ... Sterile-site biopsy Non-culture-based ... Additional management ... Diseases Consults • Echocardiogram ... antifungal #diagnosis #management
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 #Management
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Peritonitis Clinical ... Positive Gram stain/culture ... Management
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
Aspergillus terreus on Culture and Microscopy
 - velvety white, later dusky "cinnamon' growth on culture
 -
Aspergillus terreus on Culture ... cinnamon' growth on culture ... Aspergillus #terreus #clinical ... #culture #Microscopy ... #clinical #microbiology
Sporothrix schenckii

Slide culture (coverslip embedded into culture media and stained with Lactophenol cotton blue) - better
schenckii Slide culture ... embedded into culture ... Sporothrix #schenckii #clinical ... #culture #microscopy