14 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Esophagitis • Aortoenteric ... GAVE (idiopathic, liver ... UGIB #GIBleed #Differential ... #Diagnosis #management
Causes of Culture Negative Abscess - Differential Diagnosis Framework
Consider prior antibiotics as a cause of a
Causes of Culture Negative ... Abscess - Differential ... as a cause of a negative ... histoplasmosis Liver ... #Abscess #Differential
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Aortoenteric Fistula ... Diagnosis and Management ... • Should be on differential ... first-line study - If negative ... Residency @CMC_IM #Aortoenteric
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 ... Consider: Spine, CNS, liver ... IDSA #Guidelines #Management
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - Differential ... • Typhus, gram-negative ... Brucellosis • Liver ... or lung abscess ... Fever #Patterns #Differential
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
Pyogenic liver abscess ... • Enteric gram negative ... from contiguous focus ... febrilepodcast.com] #pyogenic #liver ... children #peds #differential
Superficial Soft Tissue Abscess with Cobblestoning on POCUS

The ultrasound shows a superficial abscess (green) with cobblestoning
Cobblestoning on POCUS ... a superficial abscess ... The management plan ... Cobblestoning #POCUS ... clinical #ultrasound #labeled
Liver Abscess and Mimics - Differential Diagnosis
Most Common: Polymicrobial, E Coli, Klebsiella, Strep/Enterococcus, Staph, Anaerobes
Infectious Differential:
Liver Abscess and ... Mimics - Differential ... Kumfer @AnnKumfer #Liver ... #Abscess #Differential ... Diagnosis #hepatology #management
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
also be dosed PO Sedative ... line non-benzo sedative ... bradycardia. renal/liver ... used as first sedative ... CriticalCare #diagnosis #management
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 ... Endocarditis #diagnosis #management