22 results
Liver Abscess
•	Pyogenic abscess, accounts for 80% of abscess.
•	Amebic abscess due to Entamoeba histolytica, accounts for 10%.
•	Fungal
Liver Abscess • ... • Fungal abscess ... 50% of solitary liver ... in the right Liver ... #liverabscess #liver
Liver Abscess and Mimics - Differential Diagnosis
Most Common: Polymicrobial, E Coli, Klebsiella, Strep/Enterococcus, Staph, Anaerobes
Infectious Differential:
Liver Abscess and ... bartonella - Fungal ... Candida, endemic fungi ... Kumfer @AnnKumfer #Liver ... Diagnosis #hepatology #management
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
and Management ... : • 80% have fever ... decubitus - air fluid level ... Management: • ... Prevotella • Fungal
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... within one week to assess ... Consider: Spine, CNS, liver ... #candidiasis #treatment ... #fungal #fungemia
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
• Persistent fever ... endocarditis, epidural abscess ... • Persistent fever ... pathogens (S. aureus, fungal ... Hernodynamically stable after treatment
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 • Stand at foot of bed
 • Introduce yourself
• Confirm IV access ... • Concise one-liner ... Wrap up RRT: • Final ... questions "Never ... Response #Team #RRT #Management
Hepatitis B - Treatment Indications
Treatment not indicated:
 • Immune tolerant state - HBe-Ag detectable, high HBV
Hepatitis B - Treatment ... necroinflammatory activity ... infection with severe liver ... mg/dL) or acute liver ... #Indications #management
Causes of Antibiotic Failure - Differential Diagnosis Framework
Diagnosis:
 • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
bacteria: Viral, Fungal ... Source control (abscess ... ocular), Tissue activity ... • Secondary to Treatment ... SJS, DIHS, drug fever
Autoimmune Hepatitis

Clinical Presentation
 - Highly variable clinical presentation, from subclinical disease to acute liver failure.
 -
disease to acute liver ... hepatocellular pattern of liver ... regarding need for treatment ... azathioprine (check TPMT activity ... AIH #Diagnosis #Management
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
the setting of liver ... • Underlying liver ... ) on room air Treatment ... hypertension • Liver ... #treatment #hepatology