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C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Clostridioides Difficile Infection ... Toxic Megacolon, Shock ... post-ABx, but can ... be community-acquired ... Ileus, Megacolon, Shock
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
to a preceding infection ... • Most common infection ... jejuni • Other infections ... and cauda equina TREATMENT ... ventilation is required
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... algorithm #management #cardiology ... #treatment #table ... #heartfailure #chf ... #criticalcare #
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
our friends from Cardiology ... heart (Sepsis, Shock ... #diagnosis #algorithm ... management #clinical #criticalcare ... #foamed #treatment
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
and M. fortuitum can ... massiliense in CF ... Complex (MAC): • Acquired ... • Dyspnea, • Chest ... Diagnosis Of NTM
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
beneficial when required ... via cold saline injection ... blood flow in the chest ... Tolerance #testing #diagnosis ... #criticalcare #
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Skin exam for infection ... disease b) CHF ... one post op Cardiology ... change CV risk Chest ... stratification #diagnosis
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
aches, joint pain, chest ... MC: CNS CSF: • ... India ink prep CSF ... disseminated) can ... fever • Septic shock
Cryptococcal meningitis on T2 MRI
30 M from sub-Saharan Africa presents w/ progressive Headache x1 mo, +neck
Diagnosis? ... . meningeal infection ... Standard treatment ... drained at time of diagnosis ... Brain #clinical #radiology