19 results
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
with Infective Endocarditis ... Blood Cultures ... therapy - Number one cause ... #Infective #Endocarditis ... #Diagnosis #Management
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
Infective Endocarditis ... e.g. fractured long ... Marfan's Syndrome ... compressing the blood ... #Orthopedics #Causes
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Microbiology: Blood ... • Coagulase-negative ... • Blood cultures ... #diagnosis #management
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 ... antiphospholipid syndrome ... #Infective #Endocarditis
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
• Typhus, gram-negative ... Non-Infectious Causes ... disease • Behcet's syndrome ... • Hyper-IgD syndrome ... Brucellosis • Liver or lung
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
• Initial Management ... • Syndrome caused ... globules in the lung ... Syndrome usually ... gram positive and negative
ECMO Troubleshooting - OnePager Summary
ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
circuit and can cause ... EMBOLISM - can cause ... lung or membrane ... POST-CANNULATION SYNDROME ... #differential #management
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
, verrucous) - Lung ... Microbiology: Blood ... Cholesterol emboli syndrome ... Diagnosis: • Blood ... Treat underlying cause
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
Streptococcal Toxic Shock Syndrome ... GAS in 30% of cases ... body site (i.e., blood ... kidneys, liver, lung ... STSS #treatment #management
Causes of Antibiotic Failure - Differential Diagnosis Framework
Diagnosis:
 • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Causes of Antibiotic ... NMS, serotonin syndrome ... lines, osteo, endocarditis ... (daptomycin in lungs ... thrombophlebitis), HAP, Blood