10 results
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
July 2015 the ACC ... angiography and possible PCI ... NSTEMI #Activation #Risk ... Stratfication #Management ... #Cardiology #CriticalCare
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
toxo IgG • CNS PCR ... lesions • 80% with lung ... multiple lesions Infectious ... Lesions #Brain #differential ... diagnosis #causes #radiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Skin exam for infection ... event, follow ACC ... Recent PCI/stenting ... since elective PCI ... unless prior heart/lung
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
and Management ... polymicrobial infection ... pneumonia • DM risk ... Clindamycin in case of PCN ... Abscess Differential
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
affecting the lungs ... lymph nodes Risk ... staining, NAA (PCR ... Inhibitor: • Risk ... TB #Diagnosis #Management
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
affecting the lungs ... lymph nodes Risk ... staining, NAA (PCR ... Inhibitor: • Risk ... TB #Diagnosis #Management
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
the majority of infections ... SIow growing, Long ... carbon loving' Risk ... specificity of PCR ... infectiousdiseases #diagnosis #management
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Attempt if high risk ... initiation • Differential ... Diagnosis: Infection ... fluid overload, PCC ... APML #diagnosis #management
1,3-Beta-D-Glucan and Galactomannan Testing Sensitivity Specificity and False Positives
1,3-Beta-D-Glucan
 • Cell wall component of many fungi
Other +s: PCP, Histo ... surfaces, Albumin, Infections ... useful in high risk ... in BAL does not differentiate ... result in + as long
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... fibromyalgia) • Infections ... Antiribosomal P, APLA, PAC ... La, anti-Jo-1, SCL ... Thrombosis highest risk