26 results
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Coagulase-negative ... Marantic (NTBE) Differential ... annular or aortic abscess ... Complications: Abscess ... #diagnosis #management
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
and Management ... Management: • ... Differential Diagnosis ... #pulmonary #differential ... #causes #management
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
Spinal Epidural Abscess ... : IVDU, dental abscess ... , HD catheter, endocarditis ... imaging as needed Treatment ... #diagnosis #management
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - Differential ... • Typhus, gram-negative ... infection • Abscess ... • Hepatic abscess ... Fever #Patterns #Differential
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... Susceptibilities, Negative ... within one week to assess ... clinical concern for endocarditis ... #candidiasis #treatment
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
Alpha-hemolytic, Catalase Negative ... peritonitis, and endocarditis ... Specificity of 97%) Treatment ... Meningitis 10-14 days, Endocarditis ... microbiology #diagnosis #management
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
bloodstream infection - Management ... metastatic infection (endocarditis ... , epidural abscess ... limited vascular access ... Hernodynamically stable after treatment
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
infections • Gram-negative ... 13%), Pneumonia, Endocarditis ... Treatment: • 50% ... infectiousdiseases #diagnosis #management ... #treatment
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 ... hematuria, + RF Treatment ... #Differential #
Causes of Antibiotic Failure - Differential Diagnosis Framework
Diagnosis:
 • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Antibiotic Failure - Differential ... Immunocompromise Treatment ... Source control (abscess ... lines, osteo, endocarditis ... • Secondary to Treatment