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diagnosis pocus cardiology causes treatment rheumatology septic arthritis checklist hematology summary syndrome abscess activetb algorithm aortic criticalcare echocardiogram infections infectiousdiseases
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Acute bacterial endocarditis ... • Infective endocarditis ... • Hepatic abscess ... #Patterns #Differential
Systolic Murmurs - Differential Diagnosis Algorithm Benign / Flow / Hyperdynamic: • Pregnancy • Fever • Anemia Supravalvular
Systolic Murmurs - Differential ... Pregnancy • Fever ... • Rheumatic Fever ... • Rheumatic Fever ... • Rheumatic Fever
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm Neoplasm: • NHL • Hodgkin's lymphoma • Leukemia • Solid
Causes of Fever ... Other: • Drug fever ... • Factitious fever ... • Infectious endocarditis ... • Rheumatic fever
Adult-Onset Still's Disease Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia + Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Clinical triad ... : Fever, Arthralgia ... fraction < 20% Differential ... splenomegaly • Hepatic ... #diagnosis #management
Unexpected source of fever: Liver abscess on point-of-care ultrasound - Dr. Dan Kim https://twitter.com/dan___kim/status/1016714544352116736 #Liver #Abscess #Hepatic #Clinical
Unexpected source of fever ... point-of-care ultrasound ... #Abscess #Hepatic ... #Clinical #POCUS ... #Ultrasound #Radiology
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 Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
• Aortic Valve Endocarditis ... Diptheria • Typhoid fever ... Acute rheumatic fever ... Psittacosis • Q fever ... • Yellow fever
Causes of Severe Aortic Regurgitation - Differential Diagnosis Acute: • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
Regurgitation - Differential ... Acute Infective Endocarditis ... Infection: Infective Endocarditis ... , Rheumatic Fever ... Regurgitation #Differential
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... • Persistent fever ... • Aggressive management ... Internet Book of Critical ... criticalcare #diagnosis #management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
night sweats, fever ... Marantic (NTBE) Differential ... Persistent bacteremia/fevers ... #diagnosis #management ... #cardiology
Purpura - Differential Diagnosis Framework Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
Purpura - Differential ... Cholesterol emboli • Septic ... mountain spotted fever ... • Bacterial endocarditis ... Vasculopathy #Purpura #Differential
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