13 results
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic Liver ... months without treatment ... disease, liver ... Coagulation Failure Infections ... Alcohol-Associated
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
Alcoholic Hepatitis - Management Algorithm
1. Severity assessed not only by MDF (>32) but also by MELD
Alcoholic Hepatitis ... - Management Algorithm ... Rule out infection ... can be bridge to Liver ... #Algorithm #treatment
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
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
and Management ... polymicrobial infection ... decubitus - air fluid level ... Management: • ... Prevotella • Fungal
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Mississippi and Ohio River ... Increased protein level ... normal glucose level ... Sinusitis • Brain abscess ... #Diagnosis #Management
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
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
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
(NTM) • Fungal ... emboli • Lung abscess ... Active TB: • Fever ... TB #Diagnosis #Management ... #Treatment #ActiveTB
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
(NTM) • Fungal ... emboli • Lung abscess ... Active TB: • Fever ... TB #Diagnosis #Management ... #Treatment #ActiveTB