12 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... for metastatic infection ... • Myocardial abscess ... Internet Book of Critical ... #criticalcare #diagnosis
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... Hypercoagulable states • Clinical ... indwelling catheters • Clinical ... common, Aortic root abscess ... large infarct - Infectious
Disseminated Cutaneous Blastomycosis- A fungal culture of skin tissue was negative; however, a skin biopsy showed
intraepidermal neutrophilic abscesses ... staining confirmed a diagnosis ... pyogranulomatous fungal infection ... #clinical #photo ... #derm #NEJM #cutaneous
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
- Differential Diagnosis ... cells per μL • Diagnosis ... should be based on clinical ... tuberculomas, or abscesses ... enhancement on CT
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
He received a diagnosis ... dacryocystitis — infection ... orbital cellulitis, abscess ... #NEJM #clinical ... #photo #peds #acute
Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three
capitis, a fungal infection ... ringworm, was diagnosed ... #clinical #photo ... #NEJM #tinea #capitis ... #ringworm #derm
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... fungal stain of clinical ... Sinusitis • Brain abscess ... : • Serology for ... arthritis, and endocarditis
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Clinical Picture ... Clinical DX: - ... Imaging - CT Chest ... precipitated by: Drugs, infection ... #management #neurology
Pyoderma Gangrenosum in Ulcerative Colitis- ...left chest (Panel A) and leg (Panel B). The physical examination
inflammatory-cell infiltrate, abscess ... A diagnosis of pyoderma ... #clinical #photo ... #NEJM #pyoderma ... ulcerative #colitis #derm
Lichen Planus- ...On examination, numerous purple papules were noted on the anterior surface of the forearms
confirming the diagnosis ... association with HCV infection ... #NEJM #clinical ... #photo #lichen # ... planus #derm #wickhams