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clinical ultrasound rupture echocardiogram msk tendon diagnosis cardiology achilles aaa abdominal aorta a4c aneurysm differential effusion microbiology aortic plax ruptured
Morphology and Descriptions of Fungal Infections with Hyphae or Pseudohyphae in Tissues Yeasts with Pseudohyphae: •
other hyaline fungi ... Mucorales genera ... Consistent with Mucorales ... with dematiaceous fungi ... Pseudohyphae #fungal #fungi
Microorganisms Responsible for Infective Endocarditis Native valves: - Streptococcus viridans - Enterococci - Other streptococci
Gram-negative bacilli - Fungi ... Histoplasma) - Culture ... Gram-negative bacilli - Fungi ... streptococci - Culture
Important Fungal Stains Mycology Lab: • Calcofluor white - Fluorochrome that binds glucans and chitin in fungal
preparation from culture ... cell response to fungi ... doesn't stain most fungi ... Aspergillus spp. and the Mucorales ... staining #diagnosis #fungi
Blood Culture-Negative Infective Endocarditis (BCNIE) Definition: No etiology found after 3 separate blood cultures remain negative for
Blood Culture-Negative ... separate blood cultures ... fastidious bacteria or fungi ... Tropheryma whipplei, Fungi ... bacteria) and 18S ( fungi
Causes of blood culture negative infective endocarditis Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
Causes of blood culture ... Tropheryma whipplei, Fungi ... identified with modern culture ... diagnosis #causes #culture
Endocarditis Algorithm - Infective vs Noninfective Causes Noninfective: • Malignancy • Autoimmune disease • Systemic infection Native Valve
• HACEK • Culture-negative ... Gram-negative bacilli • Fungi ... Gram-negative bacilli • Fungi
Morphology and Descriptions of Endemic Fungal Infections with Yeasts in Tissues Broad-based budding yeasts: • Description: Broad-based
other hyaline fungi ... Mucorales genera ... Consistent with Mucorales ... with dematiaceous fungi ... yeasts #fungal #fungi
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan Beta-D-Glucan: • Polysaccharide cell wall component of many fungi • Pathogens:
component of many fungi ... Cryptococcus, Mucorales ... - Negative: Mucorales ... closely related fungi
Causes of Culture Negative Abscess - Differential Diagnosis Framework Consider prior antibiotics as a cause of a
Causes of Culture ... of a negative culture ... Scedosporium, endemic fungi ... Kumfer @AnnKumfer #Culture
Papillary Muscle Rupture on POCUS See the "cracking whip"? This is what papillary muscle rupture looks
Papillary Muscle Rupture ... on POCUS See ... papillary muscle rupture ... Papillary #Muscle #Rupture ... Echocardiogram #POCUS
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