15 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... • Persistent fever ... • Aggressive management ... Josh Farkas @PulmCrit ... criticalcare #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Pre-existing valvular disease ... Congenital heart disease ... Hypercoagulable (APLAS) Microbiology ... night sweats, fever ... #diagnosis #management
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
, HD catheter, endocarditis ... Alcoholism, DM, HIV Microbiology ... but rare triad: Fever ... Abscess #diagnosis #management
Tularemia - Diagnosis and Management Summary
Francisella tularensis - Aerobic fastidious gram-negative Coccobacillus - Zoonotic Infection
 •
Diagnosis and Management ... Ulceroglandular: Fever ... Treatment: • Severe Disease ... Streptomycin • Moderate Disease ... infectiousdiseases #microbiology
Q Fever (Coxiella Burnetii) - Acute vs Chronic Diagnosis and Management

Acute:
 - Self-limited flu-like illness
 -
Q Fever (Coxiella ... Diagnosis and Management ... Hepatitis - Acute endocarditis ... #infection #microbiology ... #diagnosis #management
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
• Cellulitis: Fever ... 13%), Pneumonia, Endocarditis ... Capnocytophaga #canimorsus #microbiology ... infectiousdiseases #diagnosis #management
Chagas Disease (American trypanosomiasis) - Diagnosis and Management Summary
Acute Chagas Disease (8-12 weeks):
 • Mild: Malaise,
Chagas Disease ( ... Diagnosis and Management ... Mild: Malaise, fever ... trypanosomiasis #Diagnosis #Management ... #Microbiology #
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
exclude other lung disease ... workup or TSH level ... infection or thyroid disease ... ://twitter.com/PulmCrit ... MyastheniaGravis #Checklist #Management
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Endocarditis - Overview ... Hypercoagulable (APLAS) Microbiology ... Prosthetic Valve Endocarditis ... night sweats, fever ... #Endocarditis
Chagas Disease (American trypanosomiasis) - Diagnosis and Management Summary
Acute Chagas Disease (8-12 weeks):
 • Mild: Malaise,
Chagas Disease ( ... Diagnosis and Management ... Mild: Malaise, fever ... trypanosomiasis #Diagnosis #Management ... #Microbiology #