5026 results
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
90% of IE cases Culture ... staphylococci Culture ... Marantic (NTBE) Differential ... • Blood cultures ... Endocarditis #diagnosis #management
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup and Management ... Bacterial culture ... Diarrhea #Workup #Management ... Transplant #diagnosis #differential
Fever in the Returning International Traveler
Investigations after comprehensive physical examination including thorough skin examination: 
 •
Smears, Blood Cultures ... Arbovirus Empiric Management ... 4) All other cultures ... Traveler #empiric #management ... workup #diagnosis #differential
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Diagnosis and Management ... • Sputum/Blood cultures ... Lung Abscess Differential ... Abscess #pulmonary #differential ... #causes #management
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Diagnosis and Management ... : cell count + differential ... albumin, protein, culture ... Ascites #Diagnosis #Management
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 ... #Management #BloodCultures
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Peripheral blood cultures ... • Additional culture ... fever, positive cultures ... • Aggressive management ... criticalcare #diagnosis #management
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
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
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
demonstrated by culture ... Positive blood cultures ... separate blood cultures ... positive blood culture ... positive blood culture