8 results
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
immediate, prior to ED arrival ... posterior shoulder - AC ... especially with AC ... (delayed), TM rupture ... Electricity #Evaluation #Diagnosis
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
Streptocccus Pneumoniae Microbiology ... Diagnosis: • Physical ... sinus • Sputum culture ... Specificity of 97%) Treatment ... #diagnosis #management
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Acromioclavicular (AC ... no stigmata of endocarditis ... Diagnosis? ... Scan over AC joint ... AC joint septic
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Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Hypercoagulable (APLAS) Microbiology ... Differential Diagnosis ... Diagnosis? ... #diagnosis #management
Tularemia - Diagnosis and Management Summary
Francisella tularensis - Aerobic fastidious gram-negative Coccobacillus - Zoonotic Infection
 •
Splashing infected material ... Serology (preferred), Culture ... & GS, PCR Treatment ... #management #treatment ... infectiousdiseases #microbiology
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
, HD catheter, endocarditis ... Alcoholism, DM, HIV Microbiology ... Classic, but rare triad ... imaging as needed Treatment ... Epidural #Abscess #diagnosis
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
13%), Pneumonia, Endocarditis ... Cholecystitis Diagnosis ... microorganism (Culture ... Treatment: • 50% ... Capnocytophaga #canimorsus #microbiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... Libman Sacks) • Atrial ... Hypercoagulable (APLAS) Microbiology ... hematuria, + RF Treatment ... #Differential #Diagnosis