5 results
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
Algorithm • Temperature ... • Persistent fever ... metastatic infection (endocarditis ... • Persistent fever ... #Algorithm #CRBSI
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Clinical features: Fever ... -(rare), Valve dysfunction ... lines/indwelling catheters ... Clinical features: Fever ... Marantic #diagnosis #table
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
, endocarditis, ... epidural catheter ... but rare triad: Fever ... bladder/ bowel dysfunction ... Abscess #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
substance use • IV catheter ... night sweats, fever ... Surgery: • Valvular dysfunction ... Persistent bacteremia/fevers ... #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... event, follow ACC algorithm ... with valvular dysfunction ... or LV dysfunction ... medical and surgical management