41 results
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
Hemodynamically stable ... metastatic infection (endocarditis ... Hernodynamically stable ... after treatment ... Algorithm #CRBSI #diagnosis
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
• Most common cause ... Lung Abscess - Clinical ... once stable - ... shows a small, stable ... #differential #causes
Hordeolum vs Chalazion

Hordeolum (Stye):
 • Location: Most commonly found at or near an eyelash follicle
 •
eyelash follicle • Cause ... Warm compresses, antibiotic ... eyedrops, surgery #Clinical ... #Diagnosis #Management ... Chalazion #Comparison #Table
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Diagnosis? ... • IV Antibiotics ... Treat underlying cause ... sided IE: heart block ... lesions, heart block
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... course • Adjust antibiotics ... telemetry for heart block ... Internet Book of Critical ... #criticalcare #diagnosis
Causes of Antibiotic Failure - Differential Diagnosis Framework
Diagnosis:
 • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Causes of Antibiotic ... Framework Diagnosis ... Immunocompromise Treatment ... lines, osteo, endocarditis ... • Secondary to Treatment
Common Medications Known to Prolong QTc
Antiarrhythmics - Amiodarone, sotalol, flecainide, quinidine, dronedarone, dofetilide
Vasopressors/inotropes - Epinephrine, norepinephrine,
, venlafaxine Antibiotics ... #Medications #Causes ... #differential #diagnosis ... #pharmacology # ... table
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
specific to NBTE, and diagnosis ... high index of clinical ... is required for diagnosis ... in up to 30% of cases ... #table
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
, HD catheter, endocarditis ... most common (63%) Clinical ... imaging as needed Treatment ... Surgical drainage - Antibiotics ... Epidural #Abscess #diagnosis
First Generation Anti-Psychotics: Mechanisms and Side Effects
Typical/Conventional Anti-Psychotics - Examples: Haloperidol, Chlorpromazine

ACh M1 antagonist - Block
M1 antagonist - Block ... H1 antagonist - Block ... , and/or limbs caused ... #SideEffects #pharmacology ... #diagnosis #psychiatry