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diagnosis management differential infectiousdiseases treatment workup algorithm arthritis cardiology cppd diarrhea disease endocarditis gout hematology listeria listeriosis microbiology monocytogenes adverseeffects
Stool Cultures - Indications in Diarrhea Patient Categories to Order Stool Cultures On: • Persisting 1 week
Stool Cultures - ... IBD, age > 70, pregnant ... outbreak) Few infectious ... causes of acute ... 196 (1.5%) had a positive
Listeriosis Summary - Listeria Monocytogenes Pathogen: Listeria Monocytogenes - Gram-positive rod, Aerobic, facultative anaerobe, motile, beta-hemolytic, Non-spore-forming Risk
Monocytogenes - Gram-positive ... • CNS infection ... Diagnosis: • Stool culture ... available • Blood culture ... ) • CSF (CNS Infection
Algorithm for the Evaluation of Acute Diarrhea (< 7 days) Are the following present? 1.
Evaluation of Acute ... Routine stool culture ... HIV infection or ... while awaiting culture ... positive 2.
Listeriosis Summary - Listeria Monocytogenes Pathogen: Listeria Monocytogenes - Gram-positive rod, Aerobic, facultative anaerobe, motile, beta-hemolytic, Non-spore-forming Risk
Monocytogenes - Gram-positive ... • CNS infection ... Diagnosis: • Stool culture ... available • Blood culture ... ) • CSF (CNS Infection
Bandemia Overview Normal: < 1% Clinically significant: > 10% Band neutrophils are slightly less mature than segmented neutrophils and
odds of having positive ... predictive of a serious infection ... overlook severe infections ... superior indicator of infection ... neutrophil #WBC #CBC #hematology
13 Dangerous Causes of Headache: - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
recent head/face infection ... head in dependent position ... or at work) - acute ... preeclampsia: late pregnancy ... Killers #Lethal #Fatal
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Chronicity: • Acute ... (bacterial), acute ... for cell count, culture ... • Acute = Viral ... Joint #Pain #MSK #rheumatology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Infectious: • Pre-existing ... devices (CIED) Non-Infectious ... are positive in ... (+): Acute: ... infarction • Infectious
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
• Weakly positively ... • Gram stain, culture ... diagnose concomitant infection ... Gram stain and culture ... Gout #Comparison #rheumatology
Hydroxychloroquine - Risks and Benefits in Lupus Benefits: ↓ Disease activity, ↓ Flare, ↓ Damage, ↓ Corticosteroid dose,
Thrombosis, ↓ Severe infection ... SSA-associated fetal ... - Cuteanous: acute ... #sideeffects #rheumatology
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