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Petechial/Purpuric Rashes- THE ALGORITHMIC APPROACH 

These rashes can be especially challenging and are
associated with devastating differential
/purpura with fever ... gonococcal disease, endocarditis ... /purpura with fever ... or purpuric rash ... #Purpuric #Rash
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Diagnosis Algorithm ... Red Flags: • Fever ... • Extremes of age ... Schonlein Purpura - Endocarditis ... #Petechiae #Rash
Petechiae/Purpura - Diagnostic Algorithm. Pathophysiology: 1) Represent the passage of erythrocytes from the intravascular to extravascular
Petechiae/Purpura ... - Diagnostic Algorithm ... commonly renal and pulmonary ... #Dermatology #Rash ... #Petechiae #Purpura
ID Approach to Fever and Rash - Diagnostic Algorithm
Central Maculopapular (most common):
Measles, Parvovirus 819 / EBV,
and Rash - Diagnostic ... Algorithm Central ... Mycoplasma), Infective endocarditis ... SJS/TEN, DRESS, AGEP ... #Rash #Febrile
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Blood cultures are ... night sweats, fever ... Cerebral > Splenic, pulmonary ... hemorrhages • Petechiae ... Persistent bacteremia/fevers
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Blood cultures are ... night sweats, fever ... Cerebral > Splenic, Pulmonary ... hemorrhages • Petechiae ... Persistent bacteremia/fevers
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... murmur 3/6) - Pulmonary ... Age 4. ... event, follow ACC algorithm ... days before Pulmonary