7 results
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
Spinal Epidural Abscess ... , HD catheter, endocarditis ... , epidural catheter ... blood cultures (positive ... #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
substance use • IV catheter ... Blood cultures are positive ... nodes • Roth’s spots ... #diagnosis #management ... #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
w/ septic pulmonary ... • Myocardial abscess ... Persistent fever, positive ... • Aggressive management ... arthritis, splenic abscess
Six-step approach to ultrasound-guided central venous catheter placement

I. Identify anatomy of insertion site and localization of
Six-step approach to ultrasound-guided ... central venous catheter ... Use compression ultrasound ... #CentralLine #Ultrasound ... #Venous #Management
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
substance use • IV catheter ... cases Culture Positive ... Cerebral > Splenic, Pulmonary ... nodes • Roth’s spots ... Differential #Diagnosis #cardiology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Inhalation of spores ... Sinusitis • Brain abscess ... arthritis, and endocarditis ... infection have positive ... Fungal #Diagnosis #Management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... importantly, bedside ultrasound ... with presence of pulmonary ... differential #algorithm #management ... #cardiology #treatment