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diagnosis management causes infectiousdiseases neurology algorithm concurrent heartfailure pulmonary radiology 1 antibiotic bronchiectasis cardiogenic cardiomyopathy checklist clinical cns coinfections criticalcare
Co-occurrence of Lung-Brain Infections When we hear a patient w/ co-occurrence of lung-brain infection, Nocardia seems to
Co-occurrence of Lung-Brain ... co-occurrence of lung-brain ... • Lemierre syndrome ... #Infections #Lung ... #Brain #Differential
Streptococcal Toxic Shock Syndrome (STSS) Complication of invasive GAS disease characterized by shock & MOF → occurs
Syndrome (STSS) ... kidneys, liver, lung ... Treatment Strategy ... day 2 + 3 BIDMC Infectious ... #Syndrome #STSS
Differential Diagnosis for Concurrent Brain and Lung Infections • Bacteria: Strep anginosus, Staph aureus, Klebsiella pneumoniae
Differential Diagnosis ... for Concurrent Brain ... and Lung Infections ... spp, Lemierre syndrome ... #Lung #Infections
Causes of Antibiotic Failure - Differential Diagnosis Framework Diagnosis: • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Antibiotic Failure - Differential ... NMS, serotonin syndrome ... (daptomycin in lungs ... • Secondary to Treatment ... thrombophlebitis), HAP, Blood stream
Causes of Diffuse Lung Disease. Collagen vascular - Scleroderma - Rheumatoid arthritis -
Causes of Diffuse Lung ... granulomatosis - Churg-Strauss ... syndrome - Giant ... cell arteritis Infectious ... #Pulmonology #Differential
Systemic Inflammatory Response Syndrome (SIRS) • Non-specific (infections vs non-infectious) • ≥2 of the following: o Temp >38°C or <36°C o HR >90 bpm o RR
Inflammatory Response Syndrome ... Septic Shock • ... recognition & treatment ... Source control (drain ... glycemic control, DVT/stress
Right-Sided Heart Failure - Differential Diagnosis Algorithm Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Heart Failure - Differential ... Syndrome ... • Chronic Lung Infection ... #HeartFailure #Cardiology ... #Differential #
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent Multiple Ring-Enhancing Lesions: • Toxoplasmosis (CD4 < 100) • Other
Diagnosis- Compatible syndrome ... lesions • 80% with lung ... multiple lesions Infectious ... RingEnhancing #Lesions #Brain ... #differential #
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
parietal lobes of the brain ... /Sepsis/Shock, Autoimmune ... Reversible course Differential ... Diagnosis: • Infection ... epilepticus Treatment
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
, Congestion/CHF ... Liver Injury: • Infectious ... CA, small cell lung ... extrahepatic source - Tests ... , RBC, kidney, brain
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