2312 results
Diagnostic Testing for Meningitis
History:
 • Triad: Fever, neck stiffness, and altered mental status
 • Sens: 44%
protein, gram stain, culture ... diagnosis #testing #physicalexam
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
Blood cultures growing ... #Endocarditis #PhysicalExam
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
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
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
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
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
Endocarditis - Duke Criteria - Major and Minor

MAJOR CRITERIA: 
 - Persistently +ve blood culture for
Persistently +ve blood culture ... Positive blood cultures
Bilateral Biceps Tendon Rupture Injury 

Bilateral bicipital rupture sustained during curling exercise.

#Biceps #Tendon #Rupture #Injury #Bilateral
Biceps Tendon Rupture ... Bilateral bicipital rupture ... Biceps #Tendon #Rupture ... clinical #video #physicalexam
Abnormal Simmonds-Thompson Test (Positive) for Achilles Tendon Rupture

In this positive Simmonds-Thompson test, there is no plantar
Achilles Tendon Rupture ... Achilles tendon rupture ... Achilles #Tendon #Rupture ... Clinical #Video #PhysicalExam