18 results
Ruptured Chordae Tendineae on POCUS Echocardiogram
 
Many underlying causes, not limited to: MVP, subacute endocarditis, connective
Tendineae on POCUS Echocardiogram ... MVP, subacute endocarditis ... Assess for MR when ... - Arizona Ultrasound ... #Ultrasound #Clinical
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
for Infective Endocarditis ... or intracardiac abscess ... or intracardiac abscess ... involvement - Echocardiogram ... Predisposition • Fever
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
Spinal Epidural Abscess ... : IVDU, dental abscess ... , HD catheter, endocarditis ... but rare triad: Fever ... imaging as needed Treatment
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Clinical features: Fever ... Blood cultures/serology ... Clinical features: Fever ... Blood cultures/serology ... common, Aortic root abscess
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
• Persistent fever ... metastatic infection (endocarditis ... , epidural abscess ... • Persistent fever ... Hernodynamically stable after treatment
Causes of Antibiotic Failure - Differential Diagnosis Framework
Diagnosis:
 • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Immunocompromise Treatment ... Source control (abscess ... lines, osteo, endocarditis ... • Secondary to Treatment ... SJS, DIHS, drug fever
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
within one week to assess ... clinical concern for endocarditis ... Consider: Spine, CNS, liver ... #candidiasis #treatment
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment ... ABC's and Don't Ever ... IV access 4. ... #Epilepticus #Treatment ... Algorithm #Management #Neurology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
by culture or serology ... normal glucose level ... Sinusitis • Brain abscess ... Diagnosis: • Serology ... arthritis, and endocarditis
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Red Flags: • Fever ... Schonlein Purpura - Endocarditis ... blood test • Serology ... • Abdominal ultrasound