11 results
“Step by Step” – the new kid on the block – aims to risk stratify this
block – aims to risk ... those patients at risk ... considered “low risk ... #Peds #Febrile ... #Antibiotics #Risk
Pediatrics Sepsis Screening
SIGNS OF INFECTION?
 • Fever (>38C)
 • Hypothermia (<36C)
 • Cough/chest pain/respiratory distress
 •
Pediatrics Sepsis ... • Fever (>38C) ... RISK MEDICAL CONDITIONS ... • Other high-risk ... #peds #diagnosis
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
polymicrobial infection ... pneumonia • DM risk ... : • 80% have fever ... Intervention: - Fevers ... Prevotella • Fungal
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Lung Infections ... in HIV - Differential ... Pseudomonas FUNGAL ... • CT: Halo sign ... Pneumonia: • Risk
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Triggers: ATRA treatment ... Attempt if high risk ... Subacute-Acute: • Common: fever ... initiation • Differential ... Diagnosis: Infection
Debridement and Management of Prosthetic Joint Infection (PJI)
Duration of symptoms <3 weeks OR  <30 days
Staphylococci: 24wk for knees ... DDIs/AEs) - Fungus ... whether benefit > risk ... - Never “lifelong ... #treatment #Debridement
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
inflammatory response Risk ... forefoot, ankles, knees ... 12-24 Hours • Fever ... drug failure • Risk ... #rheumatology
Majocchi’s Granuloma due to Trichophyton rubrum 
This is GMS stain and culture of a skin biopsy
No fever. ... / foot + tinea pedis ... Treatment: Itraconazole ... occur anywhere - Risks ... Fungal infection
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
respiratory symptoms • Fever ... pulmonary symptoms • Rheumatologic ... MUCORMYCOSIS • Risk ... • Cough, fever ... Encapsulated yeast • At risk
Hodgkin's Lymphoma Overview

Hodgkin's lymphoma (HL) is an uncommon hematological malignancy arising from mature B cells. It
Hodgkin Lymphoma Risk ... History of EBV infection ... • Dyspnea • Fever ... Immunohistochemical studies (to differentiate ... Hodgkin Lymphoma Treatment