9 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
for metastatic infection ... Persistent fever, positive ... • Aggressive management ... metastatic foci of infection ... (e.g. septic arthritis
Algorithm for the Evaluation of Acute Diarrhea (< 7 days)
Are the following present?
   1.
Evaluation of Acute ... Routine stool culture ... HIV infection or ... positive 2. ... #Diarrhea #management
13 Dangerous Causes of Headache:
 - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
head in dependent position ... or at work) - acute ... temporal (giant cell) arteritis ... preeclampsia: late pregnancy ... #Dangerous #Deadly
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
shaped • Weakly ... positively birefringent ... • Gram stain, culture ... Gram stain and culture ... Gout #Comparison #rheumatology
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
Rheumatoid Arthritis ... limit for acute ... corticosteroid injections ... #diagnosis #management ... #rheumatology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Infectious: • Pre-existing ... are positive in ... (+): Acute: ... Injury By: • Early ... Endocarditis #diagnosis #management
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
positively birefringent ... • Gram stain, culture ... diagnose concomitant infection ... Deposition #Disease #Rheumatology ... #diagnosis #management
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Diagnosis and Management ... frequent attacks • Arthritis ... Gram stain and culture ... Diagnose concomitant infection ... #treatment #rheumatology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
presents with acute ... pulmonary symptoms • Rheumatologic ... Meningitis, septic arthritis ... have positive blood ... Fungal #Diagnosis #Management