20 results
Antibiotic Stewardship: Shorter is Better 
CAP 
HAP 
VAP 
Intra-abd 
Gram Neg Bacteremia 
AECB 
Cellulitis 
Osteo 
Septic
Neutropenic Fever ... Shorter #Longer #Course ... Antibiotics #Duration #EBM ... #Stewardship #InfectiousDiseases
Causes of Fever by System #Diagnosis #EM #IM #Fever #Differential #Ddxof
Causes of Fever ... System #Diagnosis #EM ... #IM #Fever #Differential ... #Ddxof
Antibiotic Stewardship: Shorter is Better
CAP 3-5d = 5-14d
VAP 8d = 15d
Intra-abd 5 or 7d = 10
42d Neutropenic Fever ... Shorter #Longer #Course ... Antibiotics #Duration #EBM ... #Stewardship #InfectiousDiseases
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis
 • Infection: Extrapulmonary tuberculosis, Abscess, Endocarditis,
Causes of Fever ... Brucellosis, Q fever ... , EBV, CMV • Malignancy ... Mediterranean fever ... , Factitious fever
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
pyelonephritis Most common cause ... uncharacterized fevers ... Diagnosis #Peds #EM ... Classification #Fever ... SeriousBacterialIllness #Ddxof
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Clinical triad: Fever ... fraction < 20% Differential ... Coxsackie, CMV, EBV ... management #treatment #rheumatology
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
- Differential ... HBV, HCV, HEV, EBV ... from extrahepatic source ... Nonhepatic Source ... injury #hepatitis #differential
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Bacterial Meningitis - Differential ... virus • CMV • EBV ... LaCrosse, Saint Louise ... • Headache • Fever ... meningeal signs (fever
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
• Clinical: fever ... , ↓ Fibrinogen level ... Infections+++: Virus (EBV ... biologics (CMV +++, EBV ... treatment #summary #rheumatology
Pediatric Fever Without a Source - 3 months to 3 years - Additional Workup Beyond Urine
Pediatric Fever ... Without a Source ... Conjugate Vaccines (PCV ... Management #Peds #EM ... Workup #Algorithm #PCV