11 results
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
Septic Arthritis ... Diagnosis and Management ... active ROM +/- fever ... count, and crystal evaluation ... MH/CCF/CWRU EM
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Clinical triad: Fever ... , Arthralgia/arthritis ... fraction < 20% Differential ... hepatitis • Pulmonary ... #treatment #rheumatology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
checklist Initial evaluation ... endocarditis w/ septic ... pulmonary embolization ... • Persistent fever ... arthritis, splenic
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
Algorithm • Temperature ... • Persistent fever ... osteomyelitis, septic ... arthritis) Keep ... Hernodynamically stable after treatment
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Distributive: Sepsis ... • Obstructive: Pulmonary ... #criticalcare #algorithm ... #treatment #management
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
respiratory symptoms • Fever ... • Septic shock ... • Meningitis, septic ... arthritis, and ... Fungal #Diagnosis #Management
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Subacute-Acute: • Common: fever ... Imaging: CXR- pulmonary ... initiation • Differential ... Diagnosis: Infection (sepsis ... APML #diagnosis #management
Legionnaires' Disease
Clinical features:
 • Gl- nausea, vomiting, diarrhea
 • Hyponatremia
 • Elevated transaminases
 • CRP >100
respond to B-Lactams Treatment ... Pontiac fever ... Extra-pulmonary: ... cellulitis, septic ... arthritis, OM,
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
• HBV, HCV - Hepatic ... Fever, chills, lack ... Leishmaniasis Differential ... Inflammatory #Syndrome #Differential ... #Diagnosis #Management
Polymyalgia Rheumatica (PMR) Diagnosis and Management Summary

WHAT?
 • Polymyalgia rheumatica (PMR) is a common systemic inflammatory
Diagnosis and Management ... • An evaluation ... for giant cell arteritis ... normal and can help differentiate ... TREATMENT: • The