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differential clinical algorithm cardiology management pocus causes pulmonary radiology table signs comparison ultrasound symptoms neurology classification pathophysiology peds hematology nephrology
Duke's Criteria for Infective Endocarditis Definite IE - Pathologic Criteria: • Pathologic lesions - vegetation or intracardiac
demonstrated by culture ... Positive blood cultures ... positive blood culture ... involvement - Echocardiogram ... #Endocarditis #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
Streptococcus Bacteremia - Indications for Echocardiogram 1) Identify the streptococci: - Low-risk streptococci: S. intermedius, S.
Indications for Echocardiogram ... positive blood culture ... #Indications #Echocardiogram ... #TTE #diagnosis
Possible Algorithm for Workup of Fever of Unknown Origin (FUO) Tier 1 Workup: • CBC, comprehensive metabolic
Blood & urine cultures ... • Repeat blood cultures ... Neuroimaging • Echocardiogram ... Origin #Workup #diagnosis
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
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 ... warrant blood cultures
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
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 Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Peripheral blood cultures ... • Additional culture ... fever, positive cultures ... Obtain single blood culture ... #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
Endocarditis - Duke Criteria - Major and Minor MAJOR CRITERIA: - Persistently +ve blood culture for
Persistently +ve blood culture ... Positive blood cultures ... #Major #Minor #Diagnosis
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