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infectiousdiseases treatment infection infective ultrasound abscess activetb american arthritis cardiology chagas checklist criticalcare differential disease latenttb listeria listeriosis monocytogenes peritonitis
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
• Persistent fever ... • Aggressive management ... Internet Book of Critical ... #criticalcare #diagnosis ... #management
Duke's Criteria for Infective Endocarditis Definite IE - Pathologic Criteria: • Pathologic lesions - vegetation or intracardiac
for Infective Endocarditis ... demonstrating active endocarditis ... Predisposition • Fever ... criteria #Infective #Endocarditis ... #diagnosis #major
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Hypercoagulable (APLAS) Microbiology ... night sweats, fever ... Diagnosis? ... Persistent bacteremia/fevers ... #diagnosis #management
Janeway Lesions in Endocarditis seen on Physical Exam Dr Supradip Ghosh @dr_supradip 36 year old male with history
left hemiplegia, fevers ... Blood cultures growing ... could have been diagnosed ... with persistent fever ... - Clinical examination
Spinal Epidural Abscess - Illness Script Epidemiology: - Patients at risk for bacteremia: IVDU, dental abscess, HD
, HD catheter, endocarditis ... most common (63%) Clinical ... but rare triad: Fever ... source: blood cultures ... #management
Streptocccus Pneumoniae Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative Epidemiology - 10% adult carriers: • Most common cause of:
Streptocccus Pneumoniae Microbiology ... peritonitis, and endocarditis ... Diagnosis: • Physical ... sinus • Sputum culture ... #diagnosis #management
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 ... features: Fever ... features: Fever
Leptospirosis Pathogen: Leptospira (interrogans, kirschneri, noguchii) Risk Factors: • Occupational exposure - Farmers, ranchers, trappers, veterinarians • Recreational
Leptospirosis Pathogen ... Epidemiologic exposure + clinical ... #Leptospira #microbiology ... #diagnosis #treatment ... #management
Spontaneous Bacterial Peritonitis Clinical • Fever • Chills • Abdominal pain Diagnosis
Peritonitis Clinical ... • Fever • ... Abdominal pain Diagnosis ... Positive Gram stain/culture ... Management
Q Fever (Coxiella Burnetii) - Acute vs Chronic Diagnosis and Management Acute: - Self-limited flu-like illness -
Q Fever (Coxiella ... Acute vs Chronic Diagnosis ... and Management ... #infection #microbiology ... #diagnosis #management
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