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diagnosis management clinical differential algorithm infectiousdiseases dermatology effusion pericardial radiology bcnie cardiac complex ctchest echocardiogram fungal hepatology infective liver meningitis
Causes of blood culture negative infective endocarditis Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
culture negative ... infective endocarditis ... #culture #negative ... #Endocarditis # ... #CNIE #BCNIE #cardiology
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures - Did they receive antibiotics prior
with Infective Endocarditis ... (IE) Has Negative ... therapy - Number one cause ... Eg: C. burnetii ... #Infective #Endocarditis
Streptocccus Pneumoniae Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative Epidemiology - 10% adult carriers: • Most common cause of:
Alpha-hemolytic, Catalase Negative ... • Most common cause ... media • Important cause ... peritonitis, and endocarditis ... Specificity of 97%) Treatment
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Coagulase-negative ... Septic Emboli Cause ... ↑ ESR, CRP • EKG ... Treat underlying cause ... diagnosis #management #cardiology
Pericarditis can be seen on EKG with diffuse ST elevations without reciprocal changes along with diffuse
can be seen on EKG ... First line treatment ... in refractory cases ... #Pericarditis #Cardiology
Candidemia Workup and Management - IDSA Guidelines 1) Antibiotics • Empiric: Echinocandins (e.g. micafungin) for most patients
Echinocandins (e.g ... Susceptibilities, Negative ... clinical concern for endocarditis ... #candidiasis #treatment
Blood Culture-Negative Infective Endocarditis (BCNIE) Definition: No etiology found after 3 separate blood cultures remain negative for
Blood Culture-Negative ... Infective Endocarditis ... but important causes ... special stains (e.g ... #Infective #Endocarditis
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Treat underlying cause ... Treat underlying cause ... #Tachycardia #Treatment ... #management #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... • Normal or negative ... level <100 pg/ml EKG ... : • Negative for ... differential #diagnosis #cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
aureus, Coagulase-negative ... staphylococci Culture Negative ... ↑ ESR, CRP • EKG ... hematuria, + RF Treatment ... Differential #Diagnosis #cardiology
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