12 results
“Step by Step” – the new kid on the block – aims to risk stratify this
serious bacterial infections ... an infant with fever ... Diagnosis #Management #Pediatrics ... #Peds #Febrile ... Stratification #Fever
Causes of Enuresis - Differential Diagnosis Algorithm
Primary Nocturnal Enuresis (Urinary Control Never Achieved)
 • Delayed Maturation
of Enuresis - Differential ... Diagnosis Algorithm ... Urinary Control Never ... #Causes #Peds # ... Pediatrics
Combination of Skin Findings and Arthritis in Pediatrics Patient - Differential Diagnosis
Malar rash: 
 • A
Patient - Differential ... Suggestive of: Rheum Fever ... Suggestive of Lyme infection ... #diagnosis #peds ... #pediatrics
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
initiation of smoking; Fever ... brown sputum, fever ... Travel hx, food hx; Fever ... #diagnosis #comparison ... #table #eosinophilia
Erythemas Summarized
Erythema ab igne
 • A dermatosis that results from repeated exposure to heat (fires, heating
known as rat bite fever ... or Haverhill fever ... infectiosum • Fever ... acute rheumatic fever ... #table #differential
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
polymicrobial infection ... pneumonia • DM risk ... : • 80% have fever ... decubitus - air fluid level ... Abscess Differential
Pediatrics Sepsis Screening
SIGNS OF INFECTION?
 • Fever (>38C)
 • Hypothermia (<36C)
 • Cough/chest pain/respiratory distress
 •
Pediatrics Sepsis ... • Fever (>38C) ... pain/swelling/rash ... HIGH RISK MEDICAL ... #peds #diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... Skin exam for infection ... event, follow ACC algorithm ... Cataract Plan for Meds ... unless prior heart/lung
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
weight loss, and fever ... permanent alopecia Differential ... fibromyalgia) • Infections ... to: Arthritis, Fever ... Thrombosis highest risk
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 • Pathogens:
invasive fungal infection ... useful in high risk ... BAL GM does not differentiate ... post-2010 almost never ... Galactomannan #diagnosis #comparison