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diagnosis differential abdominal abscess ascites bacterial chronic classification clinical cough ddxof dermatology em hematology immunecompromised immunocompromised management peds peritonitis petechiae
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
DIAGNOSTICS Paracentesis ... if other signs (fever ... • Early (<12h) paracentesis ... Day 3 repeat paracentesis ... fluoroquinolone to complete
Serious Bacterial Illness (SBI): 1) UTI and pyelonephritis Most common cause of SBI Accounts for 3-8% of uncharacterized fevers Female
pyelonephritis Most common cause ... of SBI Accounts ... uncharacterized fevers ... (particularly complex ... Classification #Fever
Chronic Cough - Differential Diagnosis Algorithm Red Flags: • Fever, night sweats, chills (infection) • Weight loss,
Differential Diagnosis Algorithm ... Red Flags: • Fever ... bronchoscopy to complete ... Differential #Diagnosis #Algorithm ... #causes
Complex Ascites on POCUS 62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... weeks ago, no fevers ... On cipro for sbp ... PittIMPOCUS #Complex ... Ascites #POCUS #SBP
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 Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Differential Diagnosis Algorithm ... Red Flags: • Fever ... Work Up: • Complete ... #Causes #dermatology
Causes of Fever in the Immunocompromised Host - Differential Diagnosis Algorithm Structural Defect - Asplenia/HypospIenism • Bacteremia/Septic
Causes of Fever ... Differential Diagnosis Algorithm ... • Neisseria spp ... Infection #Fever ... #Causes #Hematology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis: • Fevers ... and branches • Fever ... asymmetric arm BP ... pauci-immune GN Immune Complex ... tract, and often causes
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