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diagnosis cardiology checklist criticalcare differential duke epidural infectiousdiseases spinal summary
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
for metastatic infection ... • Myocardial abscess ... • Persistent fever ... • Aggressive management ... Josh Farkas @PulmCrit
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 ... weakness, sensory changes ... #diagnosis #management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Infectious: • Pre-existing ... Hypercoagulable (APLAS) Microbiology ... night sweats, fever ... -> TEE • Duke Criteria ... #diagnosis #management
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Endocarditis - Overview ... Infectious: • Pre-existing ... Hypercoagulable (APLAS) Microbiology ... night sweats, fever ... → TEE • Duke Criteria
Endocarditis - Diagnosis and Management Summary What is it? Inflammation of endocardium, typically secondary to infection of
and Management ... typically secondary to infection ... Diagnosis: Duke Criteria ... w/ vegetation/abscess ... predisposition/lVDU, Fever
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