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diagnosis differential algorithm bloodstream cardiology catheter causes endocarditis evaluation immune infection inflammatory intermittent iris patterns periodic perioperative preop preoperative pulmonary
Suspected catheter-related bloodstream infection - Management Algorithm • Temperature 37.8 C • Rigors
Hemodynamically stable ... • Persistent fever ... endocarditis, epidural abscess ... • Persistent fever ... limited vascular access
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... • Abscess, bacteremia ... Leptospirosis Pel-Ebstein ... Brucellosis • Liver or lung ... #Patterns #Differential
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... polymicrobial infection ... : • 80% have fever ... Abscess Management ... Abscess Differential
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
verrucous) • Lung ... night sweats, fever ... Marantic (NTBE) Differential ... Persistent bacteremia/fevers ... Endocarditis #diagnosis #management
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
osteomyelitis, cutaneous abscesses ... Candida albicans • Epstein ... Leishmaniasis Differential ... Inflammatory #Syndrome #Differential ... #Diagnosis #Management
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
or family - Ever ... Assess functional ... Skin exam for infection ... unless prior heart/lung ... medical and surgical management
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