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diagnosis anesthesiology anesthesia workup infectiousdiseases intraoperative cardiology algorithm criticalcare microbiology nephrology causes foamed fungal hypertension hypotension listeria listeriosis monocytogenes rheumatology
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... Persistent fever, positive ... • Aggressive management ... #checklist #criticalcare ... #diagnosis #management
Hypotension in Anesthesiology - Differential Diagnosis and Management Initial checklist: - Verify BP (e.g. surgeon
Anesthesiology - Differential ... Diagnosis and Management ... Initial checklist ... compression) Initial treatment ... Head down position
Warm Antibody Autoimmune Hemolytic Anemia 1) DIAGNOSE AIHA • Anemia: macrocytic > normocytic, ↑ reticulocytes •
autoantibodies: positive ... • Blood smear: Differential ... → schizocytes, Positive ... Anemia #diagnosis #management ... #treatment #rheumatology
Streptocccus Pneumoniae Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative Epidemiology - 10% adult carriers: • Most common cause of:
Microbiology: Gram Positive ... peritonitis, and endocarditis ... Specificity of 97%) Treatment ... Meningitis 10-14 days, Endocarditis ... microbiology #diagnosis #management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Endocarditis Summary ... Blood cultures are positive ... nodes • Roth’s spots ... Marantic (NTBE) Differential ... #diagnosis #management
Hypertension in Anesthesiology - Differential Diagnosis and Management Initial checklist: - Verify BP (e.g. surgeon
Anesthesiology - Differential ... Diagnosis and Management ... Initial checklist ... vaporizer) Initial treatment ... #Checklist
Spinal Epidural Abscess - Illness Script Epidemiology: - Patients at risk for bacteremia: IVDU, dental abscess, HD
, HD catheter, endocarditis ... blood cultures (positive ... imaging as needed Treatment ... Abscess #diagnosis #management
Listeriosis Summary - Listeria Monocytogenes Pathogen: Listeria Monocytogenes - Gram-positive rod, Aerobic, facultative anaerobe, motile, beta-hemolytic, Non-spore-forming Risk
Monocytogenes - Gram-positive ... beta-hemolytic, Non-spore-forming ... Monocytogenes #diagnosis #management ... infectiousdiseases #treatment
Listeriosis Summary - Listeria Monocytogenes Pathogen: Listeria Monocytogenes - Gram-positive rod, Aerobic, facultative anaerobe, motile, beta-hemolytic, Non-spore-forming Risk
Monocytogenes - Gram-positive ... beta-hemolytic, Non-spore-forming ... Monocytogenes #diagnosis #management ... infectiousdiseases #treatment
Management of Supine Hypertension • Avoid offending agents • Avoid lying down during the day; rest
Management of Supine ... in the seated position ... fludrocortisone in favor of short-acting ... #Hypertension #Management ... #Treatment
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