19 results
Endocarditis - Duke Criteria - Major and Minor

MAJOR CRITERIA: 
 - Persistently +ve blood culture for
Endocarditis - Duke ... Persistently +ve blood ... culture for typical ... Osler's nodes, Roth spots ... #Major #Minor #Diagnosis
Biceps Tendon Rupture and Hematoma on Point or Care Ultrasound (POCUS)

Anticoagulated guy bruises to arm and
and Hematoma on ... Care Ultrasound (POCUS ... #Rupture #POCUS ... #Ultrasound #clinical ... #MSK #Sports
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
for Infective Endocarditis ... demonstrating active endocarditis ... from 2 separate blood ... criteria #Infective #Endocarditis ... #diagnosis #major
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... • Peripheral blood ... Obtain single blood ... Internet Book of Critical ... #criticalcare #diagnosis
Osler's Nodes in a patient with infective endocarditis

67yo presents with R occipital intraparenchymal hemorrhage (IPH) attributed
Blood cultures ( ... confirming our working diagnosis ... of endocarditis ... suspicion for ruptured ... #clinical #photo
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Microbiology: Blood ... nodes • Roth’s spots ... Differential Diagnosis ... Diagnosis? ... • Blood cultures
Rectus Sheath Hematoma on POCUS
Older male on apixaban for treatment of DVT presents with abdominal pain
on POCUS Older ... What is the diagnosis ... Acute, hypoechoic blood ... surrounded by clotted blood ... #POCUS #clinical
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
Blood Culture-Negative ... Infective Endocarditis ... antimicrobials, clinical ... BCNIE Diagnostic ... #diagnosis #differential
Listeriosis Summary - Listeria Monocytogenes
Pathogen: Listeria Monocytogenes - Gram-positive rod, Aerobic, facultative anaerobe, motile, beta-hemolytic, Non-spore-forming
Risk
beta-hemolytic, Non-spore-forming ... food, salad bar Clinical ... CNS infection Diagnosis ... available • Blood ... Monocytogenes #diagnosis
Bandemia Overview

Normal: < 1%
Clinically significant: > 10%

Band neutrophils are slightly less mature than segmented neutrophils and
Normal: < 1% Clinically ... of peripheral blood ... on the left Myeloblast ... cultures, including blood ... likelihood of negative clinical