Staph clinical ultrasound - GrepMed

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Splenic Abscess on POCUS

Older male with IVDU presents with fever, abdominal pain and hypotension. During

Staph was culprit ... Spleen #POCUS #clinical ... #ultrasound

Aortic Valve Endocarditis on POCUS Echocardiogram (PLAX)
50 yo female presents with fever & flu-like symptoms.

Blood Cx grew staph ... Echocardiogram #PLAX #clinical ... #ultrasound #cardiology

Epiglottitis - Swollen inflamed epiglottis
Clinical (Rapid onset)
• Fever
• Sore throat

inflamed epiglottis Clinical ... • Staph. aureus

Mitral Valve Vegetation Echocardiogram
Juicy vegetation on a mitral valve.

31% S. Aureus (IVDUs, IV lines)
17% Strep viridans
11%

enterococci 11% coag -ve staph ... Endocarditis #Infective #Clinical

Complications of Staph Aureus Bacteremia
• CNS Infections
• Septic pulmonary embolism (0.9% - 18.8%)
•

Complications of Staph ... Darcy Wooten #Staph

Antibiotic Options for Treating MRSA Infections

PO: Doxycycline, Clindamycin, TMP-SMX, Linezolid
IV: Linezolid, Vancomycin, Ceftaroline, Daptomycin, Tigecycline

By Dr.

saureus #aureus #staph

Penicillins - Table of Coverage by Generation

Natural PCN (1st generation): Benzathine PCN, PCN G

Aminopenicillins

Ampicillin Anti-Staph

How to Determine a Contaminant vs True Infection

What is the organism? Most
common contaminants:

Coagulase-negative Staph ... common for coag-neg Staph

Community Acquired Pneumonia (CAP) - Microbiology
• Typicals: Strep pneumoniae, H influenzae, Moraxella catarrhalis, Staph aureus,

Moraxella catarrhalis, Staph

Neck Mass - Differential Diagnosis Framework
Inflammatory:
• Viral (reactive): EBV, HIV
• Bacterial: Staph/Strep, Tularemia, Brucella

• Bacterial: Staph

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