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diagnosis management infectiousdiseases rheumatology arthritis disease emergencies francisella fungal gout hemeonc infections laboratory meningitis microbiology mycoses neurology oncologic oncology person
Diagnostic Testing for Meningitis History: • Triad: Fever, neck stiffness, and altered mental status • Sens: 44%
Diagnostic Testing ... Meningitis History: • Triad ... Leg extension → pain ... protein, gram stain, culture ... to 100% - VA Joint
Tularemia - Diagnosis and Management Summary Francisella tularensis - Aerobic fastidious gram-negative Coccobacillus - Zoonotic Infection •
Splashing infected material ... unilateral symptoms (pain ... photophobia, increased tearing ... & GS, PCR Treatment ... #management #treatment
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary Epidemiology: • Prevalence: 1-2 cases per million -
disorders • Testing ... diazepam • EMG testing ... antibody that works ... Focal limb or joint ... #Management #treatment
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Rheumatology Workup ... Gram stain and culture ... , and low back pain ... (to support a diagnosis ... #diagnosis #testing
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
muscle aches, joint ... pain, chest pain ... • Confirmed by culture ... Urinary antigen testing ... : • Culture of
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
abdomen if abdominal pain ... full infectious work-up ... days → add fungal work-up ... radiology for possible stenting ... Oncology #HemeOnc #Diagnosis
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... swelling, significant pain ... Synovial Fluid Testing ... Gram stain and culture
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