18 results
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
rickettsioses, amebic abscess ... infective endocarditis ... , amebic liver abscess ... , amebic liver abscess ... mononucleosis, infective endocarditis
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Abscess, bacteremia ... • Hepatic abscess ... • Leptospirosis ... • Malaria • Leptospirosis ... Liver or lung abscess
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Cirrhosis with fever ... SBP. ... POCUS for win. ... Diverticular abscess ... #clinical #ultrasound
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Drugs • ICP / Infections ... • Aortic Valve Endocarditis ... + Abscess • Sick ... Cimetidine Infections ... Babesiosis • Leptospirosis
Waterborne Infections - Differential Diagnosis Framework

Infections that can be acquired from fresh water, brackish water, sea
Waterborne Infections ... Diagnosis Framework Infections ... (Mycobacteria abscessus ... - Rhizopus Leptospirosis ... is biphasic • Clinical
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Infectious: • Pre-existing ... devices (CIED) Non-Infectious ... Hypercoagulable (APLAS) Microbiology ... night sweats, fever ... Persistent bacteremia/fevers
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
Spinal Epidural Abscess ... , HD catheter, endocarditis ... Alcoholism, DM, HIV Microbiology ... most common (63%) Clinical ... but rare triad: Fever
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
for metastatic infection ... • Myocardial abscess ... • Persistent fever ... arthritis, splenic abscess ... Internet Book of Critical
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
for Infective Endocarditis ... or intracardiac abscess ... or intracardiac abscess ... Predisposition • Fever ... evidence of active infection
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... features: Fever ... features: Fever ... common, Aortic root abscess ... large infarct - Infectious