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diagnosis cardiology infective management blood comparison differential duke epidural infectiousdiseases major marantic microscopy minor nbte noninfective smear spinal table
Duke's Criteria for Infective Endocarditis Definite IE - Pathologic Criteria: • Pathologic lesions - vegetation or intracardiac
or intracardiac abscess ... or intracardiac abscess ... major clinical criteria ... blood cultures ... Immunologic phenomena • Micro
Capnocytophaga spp on Culture and Blood Smear Associated w/ dog/human oral flora, can cause bacteremia in immunocompromised
Capnocytophaga spp ... anaerobe; narrow Gram negative ... #Culture #Blood ... #Smear #clinical ... #microscopy #microbiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Hypercoagulable (APLAS) Microbiology ... : Blood cultures ... • Coagulase-negative ... • Blood cultures ... -> TEE • Duke Criteria
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... : Serial negative ... blood cultures ... : + (Negative blood ... common, Aortic root abscess
Spinal Epidural Abscess - Illness Script Epidemiology: - Patients at risk for bacteremia: IVDU, dental abscess, HD
, HD catheter, endocarditis ... Alcoholism, DM, HIV Microbiology ... most common (63%) Clinical ... Locate the source: blood ... cultures (positive
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Hypercoagulable (APLAS) Microbiology ... : Blood cultures ... Negative: • Bartonella ... Diagnosis: • Blood ... → TEE • Duke Criteria
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