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management cap cardiology differential fungal infectiousdiseases pneumonia antibiotic bacterial blastomyces blastomycosis clinical coverage echocardiogram failure hepatology infections mycoses peritonitis pocus
Antibiotics for severe community-onset pneumonia Atypical coverage always - Usually azithromycin 500 mg daily - Doxycycline
severe community-onset ... piperacillin-tazobactam Septic Shock ... Structural lung ... Vancomycin #Community ... #Acquired #Pneumonia
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management Ascites PMN > 250/mm3 ? Nosocomial or hospital acquired. Recent
Peritonitis (SBP) - Diagnosis ... Nosocomial or hospital acquired ... Presentation in septic shock ... Best evidence: long-term ... Peritonitis #SBP #Diagnosis
Causes of Antibiotic Failure - Differential Diagnosis Framework Diagnosis: • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Causes of Antibiotic ... Framework Diagnosis ... lines, osteo, endocarditis ... (daptomycin in lungs ... diff) • Hospital-Acquired
Blastomycosis (Blastomyces): Gilchrist’s disease, Chicago disease - Summary Sheet • Morphology • Geography, Reservoir and Mode
- Acute pulmonary ... blastomycosis – resembles community-acquired ... presentation of TB, lung ... blastomycosis • Diagnosis ... #Blastomyces #diagnosis
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
verrucous) • Lung ... Cerebral > Splenic, pulmonary ... Differential Diagnosis ... Diagnosis? ... • IV Antibiotics
Community Acquired Pneumonia (CAP) - Diagnosis and Management Pneumonia Signs/Symptoms: • Confusion/disorientation (LR + 1.9) • Cough
Community Acquired ... Pneumonia (CAP) - Diagnosis ... 96.1% • Empiric antibiotic ... Management #treatment #Pulmonary ... #Community #Acquired
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential Diagnosis ... , verrucous) - Lung ... Cerebral > Splenic, Pulmonary ... Treatment • IV antibiotics ... #Differential #Diagnosis
Tricuspid Valve Endocarditis on POCUS This is the bedside Echo of a critically ill young lady who
Tricuspid Valve Endocarditis ... presented to the ER in shock ... regurgitation & septic pulmonary ... embolize to the lungs ... broad-spectrum antibiotics
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 Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
Histoplasmosis Diagnosis ... change in the lungs ... fever • Septic shock ... arthritis, and endocarditis ... nails, bronchi, lungs
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