14 results
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Spontaneous Bacterial ... ) - Diagnosis and ... Nosocomial or hospital acquired ... Presentation in septic shock ... dysfunction or liver failure
Causes of Antibiotic Failure - Differential Diagnosis Framework
Diagnosis:
 • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Failure - Differential ... Diagnosis: • Non-Infectious ... Bug: Atypical bacteria ... • Secondary to Treatment ... diff) • Hospital-Acquired
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... SBP <90, drop in ... SBP > 40 - End-organ ... Insufficiency, Liver Failure ... Cardiogenic: Myocardial Infarction
Systemic Inflammatory Response Syndrome (SIRS)
•	Non-specific (infections vs non-infectious)
•	≥2 of the following:
o	Temp >38°C or <36°C
o	HR >90 bpm
o	RR
RR ≥22/min o SBP ... Septic Shock • ... + circulatory failure ... recognition & treatment ... Broad-spectrum antibiotics
Hordeolum vs Chalazion

Hordeolum (Stye):
 • Location: Most commonly found at or near an eyelash follicle
 •
follicle • Cause: Bacterial ... infection either ... Warm compresses, antibiotic ... #Clinical #Diagnosis ... Chalazion #Comparison #Table
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Peritonitis DIAGNOSTICS ... improved outcomes 1) Antibiotics ... ↓ rebleeding, infections ... #diagnosis #management ... #prophylaxis #treatment
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
polymicrobial infection ... once stable - ... shows a small, stable ... Pathogens: • Aerobic Bacteria ... • Anaerobic Bacteria
“Step by Step” – the new kid on the block – aims to risk stratify this
investigations and treatments ... risk of serious bacterial ... infections (SBI ... CRP < 20 mg/L #Diagnosis ... Algorithm #LP #Antibiotics
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
clinical suspicion is required ... Features of Non-Bacterial ... embolism +++, Heart failure ... embolism +, Heart failure ... #table
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
Sepsis - Diagnosis ... host response to infection ... SBP < 100 3. ... recognition and treatment ... broad spectrum antibiotics