76 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
• Myocardial abscess ... • Persistent fever ... • Aggressive management ... arthritis, splenic abscess ... Internet Book of Critical
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
or intracardiac abscess ... demonstrated by culture ... or intracardiac abscess ... Definite IE - Clinical ... Predisposition • Fever
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... most common) Clinical ... to rnonths • Fever ... meropenem) #Lung #Abscess ... Diagnosis #Pulmonary #Clinical
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
Alcoholism, DM, HIV Microbiology ... most common (63%) Clinical ... but rare triad: Fever ... source: blood cultures ... #diagnosis #management
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Leptospirosis Pathogen ... Epidemiologic exposure + clinical ... TheIDtrivia #Leptospirosis ... #Leptospira #microbiology ... diagnosis #treatment #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Hypercoagulable (APLAS) Microbiology ... : Blood cultures ... night sweats, fever ... Persistent bacteremia/fevers ... Endocarditis #diagnosis #management
Liver Abscess on POCUS Ultrasound

Fever and RUQ pain/tenderness isn't always chole. In this patient population make
Liver Abscess on ... POCUS Ultrasound ... Fever and RUQ ... This #POCUS has ... @eabramsMD #Clinical
Fusarium on Culture and Microscopy
Collecting a sample for culture from the eye is never fun, but
Fusarium on Culture ... from the eye is never ... positive fungal culture ... #Microscopy #clinical ... #microbiology
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Peritonitis Clinical ... • Fever • ... Positive Gram stain/culture ... Management
PCI Stent Coronary Abscess - Infective Pseudoaneurysm on Echocardiogram

PCI Stent Coronary Abscess - Infective Pseudoaneurysm after
Stent Coronary Abscess ... Stent Coronary Abscess ... High grade fever ... Echocardiogram #POCUS ... #clinical #cardiology