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differential treatment rheumatology clinical lung infectiousdiseases radiology criticalcare disease syndrome chest infections algorithm cardiology checklist fungal summary amiodarone causes empyema
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures - Did they receive antibiotics prior
with Infective Endocarditis ... (IE) Has Negative ... cause of culture negative ... #Infective #Endocarditis ... #Diagnosis #Management
Streptocccus Pneumoniae Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative Epidemiology - 10% adult carriers: • Most common cause of:
Alpha-hemolytic, Catalase Negative ... peritonitis, and endocarditis ... Diagnosis: • Physical ... CXR, ENT exam, CT ... #management
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
TEE) • Chest CT ... w/ septic pulmonary ... • Aggressive management ... #criticalcare #diagnosis ... #management
Candidemia Workup and Management - IDSA Guidelines 1) Antibiotics • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... Susceptibilities, Negative ... Complications • Ocular ... week to assess ocular ... clinical concern for endocarditis
Complications of Staph Aureus Bacteremia • CNS Infections • Septic pulmonary embolism (0.9% - 18.8%) •
Infections • Septic pulmonary ... ) • Infective endocarditis ... - Native valve ... arthritis - Native ... Complications #diagnosis
Rapidly Progressive Glomerulonephritis (RPGN) RPGN has three primary pathophysiologic causes differentiated by immunofluorescence Immune Complex Mediated (granular staining):
Cryoglobulinemia, Endocarditis ... With associated pulmonary ... Pauci-immune mediated (Negative ... #differential #diagnosis
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Differential Diagnosis ... polyangiitis) - ANCA-negative ... resolution chest CT ... #differential #diagnosis
Etiologies of pulmonary infections according to CT-scan patterns. CMV cytomegalovirus, GM galactomannan, HSV herpes simplex virus,
Etiologies of pulmonary ... infections according to CT-scan ... Varicella–Zoster virus NODULAR ... #Patterns #Pulmonary ... #Differential #Diagnosis
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Coagulase-negative ... Cerebral > Splenic, pulmonary ... Differential Diagnosis ... Diagnosis? ... #diagnosis #management
High-Res Chest CT Patterns - Differential Diagnosis Framework Reticular: • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... - Differential Diagnosis ... Low Attenuation Nodular ... HighRes #Chest #CT ... #pulmonary #radiology
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