16 results
Infective endocarditis - etiology and sources of infection. 
 • Native and prosthetic 
valve endocarditis
 •
Infective endocarditis ... • Native and ... prosthetic valve endocarditis ... for TPN) and antibiotic ... Bacteria #Etiology #Differential
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... Frequent false-negative ... heart valves • MRI ... often seen • MRI ... #comparison #infective
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
, HD catheter, endocarditis ... most common (63%) Clinical ... Diagnosis: - MRI ... Surgical drainage - Antibiotics
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Guidelines 1) Antibiotics ... Susceptibilities, Negative ... or TEE unless clinical ... concern for endocarditis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... • Coagulase-negative ... Marantic (NTBE) Differential ... • IV Antibiotics ... #Endocarditis
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 ... #Infective #Endocarditis ... #diagnosis #differential
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
fastidious gram-negative ... to meningitis, endocarditis ... possible Patient's clinical ... or clindamycin Antibiotic ... #dermatology #clinical
Focal Periphyseal Edema (FOPE lesion) - MSK Radiology
Imaging Findings:
 • Arrows identifying the characteristic edema-like signal
peers and may negatively ... repeated follow-up MRI ... (save $$) Differential ... Edema #lesion #clinical ... #mri #clinical
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Bacterial Meningitis - Differential ... • Common clinical ... in 70%-85% • Negative ... stain: Previous antibiotics ... Monocytogenes or gram negative
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... aureus, Coagulase-negative ... staphylococci Culture Negative ... Treatment • IV antibiotics ... #Differential #