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diagnosis differential management infective cardiology infectiousdiseases noninfective bcnie bloodculture bloodcultures bloodstream catheter chf clinical clinicopathology comparison crbsi criticalcare foamed glomerulonephritis
Endocarditis Algorithm - Infective vs Noninfective Causes Noninfective: • Malignancy • Autoimmune disease • Systemic infection Native Valve
Endocarditis Algorithm ... vs Noninfective Causes ... amzn.to/2LmUODZ #Endocarditis ... #Algorithm #Infective ... #Noninfective #Causes
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures - Did they receive antibiotics prior
with Infective Endocarditis ... Blood Cultures ... therapy - Number one cause ... #Infective #Endocarditis ... Diagnosis #Management #Algorithm
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
serology: Serial negative ... Frequent false-negative ... /serology: + (Negative ... in up to 30% of cases ... Marantic #diagnosis #table
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Microbiology: Blood cultures ... • Coagulase-negative ... Septic Emboli Cause ... • Blood cultures ... Treat underlying cause
Rapidly Progressive Glomerulonephritis (RPGN) RPGN has three primary pathophysiologic causes differentiated by immunofluorescence Immune Complex Mediated (granular staining):
pathophysiologic causes ... Cryoglobulinemia, Endocarditis ... Pauci-immune mediated (Negative ... differential #diagnosis #algorithm
Blood Culture-Negative Infective Endocarditis (BCNIE) Definition: No etiology found after 3 separate blood cultures remain negative for
Blood Culture-Negative ... Infective Endocarditis ... separate blood cultures ... but important causes ... #Infective #Endocarditis
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Pointes - Management Algorithm ... • Prevents future ... Isoproterenol (non selective ... 1b (lidocaine)- case ... TDP #Management #Algorithm
Suspected catheter-related bloodstream infection - Management Algorithm • Temperature 37.8 C • Rigors
infection - Management Algorithm ... Obtain blood cultures ... Hemodynamically stable ... metastatic infection (endocarditis ... infection #Management #Algorithm
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Endocarditis - Overview ... aureus, Coagulase-negative ... staphylococci Culture Negative ... Septic emboli cause ... Treat underlying cause
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... (or too little relative ... differential #diagnosis #table
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