11 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
left hemiplegia, fevers ... sister shared these photos ... could have been diagnosed ... with persistent fever ... #photo #dermatology
Evaluation and Management of Pediatric Fever #Diagnosis #Management #EM #Peds #Fever #Workup #Evaluation #Discharge #Admission #Algorithm
Evaluation and Management ... of Pediatric Fever ... #Diagnosis #Management ... #EM #Peds #Fever ... Admission #Algorithm #Ddxof
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
uncharacterized fevers ... Consider BCx, CSF evaluation ... #Peds #EM #Classification ... #Fever #SBI #SeriousBacterialIllness ... #Ddxof
Osler's Nodes in a patient with infective endocarditis

67yo presents with R occipital intraparenchymal hemorrhage (IPH) attributed
with infective endocarditis ... Pt develops fever ... confirming our working diagnosis ... of endocarditis ... #clinical #photo
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... Initial evaluation ... • Persistent fever ... Internet Book of Critical ... #criticalcare #diagnosis
Clinical Algorithm for Emergency Department Evaluation and Management of UTI in Febrile Infants and Young Children

Urinary
Clinical Algorithm ... Emergency Department Evaluation ... department with fever ... UTI #Algorithm #Diagnosis ... Febrile #Infant #Peds
Algorithm for the Evaluation of Kawasaki and Incomplete Kawasaki Disease:
Diagnosis
* Fever >5d
* Criteria (4/5)
  -
Algorithm for the Evaluation ... Kawasaki Disease: Diagnosis ... * Fever >5d * ... #Peds #Pediatrics ... Workup #Algorithm #Ddxof
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
Evaluation of suspected ... old on day ≥7 of fever ... if they have no clinical ... within 10 d of fever ... #Diagnosis #Peds
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
He received a diagnosis ... agents, and the fever ... #NEJM #clinical ... #photo #peds #acute
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... or family - Ever ... Change in clinical ... perioperative #Risk #Evaluation ... stratification #diagnosis