55 results
Blood culture contaminants
Grouped by gram negative vs gram positive vs other as well as never/maybe/probably
Some additional
Blood culture contaminants ... Grouped by gram negative ... #Infections #Microbiology ... #Micro #Differential ... #Ddx #Diagnosis
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... • Aggressive management ... #Endocarditis #checklist ... #criticalcare # ... diagnosis #management
Thyroid Storm Diagnosis and Management Checklist

Dr. Josh Farkas @PulmCrit

#Thyroid #Storm #Checklist #Diagnosis #Management #Endocrinology #CriticalCare
Thyroid Storm Diagnosis ... and Management ... Checklist Dr. ... #Diagnosis #Management ... Endocrinology #CriticalCare
GI Bleed Checklist

History, 
Exam, Labs, Access, Coagulation status, 
Medications, 
Interventions

#Diagnosis #Management #Gastrointestinal #GIBleed #Checklist #CriticalCare
GI Bleed Checklist ... Interventions #Diagnosis ... #Management #Gastrointestinal ... #GIBleed #Checklist ... #CriticalCare
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
Endocarditis (IE) Has Negative ... Blood Cultures ... negative IE - ... BloodCultures #Diagnosis ... #Management #Algorithm
Causes of blood culture negative infective endocarditis

Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
Causes of blood culture ... negative infective ... #differential #diagnosis ... #negative #Endocarditis ... InfectiousDiseases #Microbiology
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
Streptocccus Pneumoniae Microbiology ... Alpha-hemolytic, Catalase Negative ... Diagnosis: • Physical ... sinus • Sputum culture ... #diagnosis #management
Psittacosis 
Pathogen: Chlamydia psittaci - obligate intracellular gram negative
Transmission:
 • Birds are the primary reservoir
 •
intracellular gram negative ... hemoptysis, diarrhea Diagnosis ... test • PCR • Culture ... Chlamydia #psittaci #microbiology ... #diagnosis #management
How to Determine a Contaminant vs True Infection 

What is the organism? Most 
common contaminants:
• Coagulase-negative ... How many blood culture ... species from the micro ... Contamination #Diagnosis
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup and Management ... Bacterial culture ... above testing negative ... Diarrhea #Workup #Management ... Algorithm #Transplant #diagnosis