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diagnosis algorithm cardiology comparison management rash antibiotic compared dress erythemas failure hematology infectiousdiseases infective maculopapular marantic nbte noninfective nonpalpable palpable
Maculopapular Rashes - THE ALGORITHMIC APPROACH The term maculopapule is a portmanteau, a combination of macule and
macule and papule (Table ... Patients with centrally ... Those with centrally ... pathognomonic for SJS ... #Diagnosis #Dermatology
Causes of Antibiotic Failure - Differential Diagnosis Framework Diagnosis: • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Causes of Antibiotic ... Failure - Differential ... lines, osteo, endocarditis ... effect/reaction (ie SJS ... , DIHS, drug fever
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Clinical features: Fever ... intravenous drug use, Central ... Clinical features: Fever ... in up to 30% of cases ... Marantic #diagnosis #table
Purpura - Differential Diagnosis Framework Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
Purpura - Differential ... mountain spotted fever ... • Bacterial endocarditis ... Vasculopathy #Purpura #Differential ... #nonpalpable #dermatology
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Rash - Differential ... Red Flags: • Fever ... Schonlein Purpura - Endocarditis ... #dermatology #physicalexam
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
catheter • Recent dental ... night sweats, fever ... Septic Emboli Cause ... Marantic (NTBE) Differential ... Persistent bacteremia/fevers
Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) Definition: • Severe adverse drug reaction, characterized by
Edema in 70% of cases ... Fever >38.5 2. ... Resolution > 15 days Differentials ... drug reaction • SJS ... DRESS #Syndrome #dermatology
Erythemas Summarized Erythema ab igne • A dermatosis that results from repeated exposure to heat (fires, heating
known as rat bite fever ... or Haverhill fever ... Erythemas #comparison #table ... #differential # ... diagnosis #dermatology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential ... night sweats, fever ... Septic emboli cause ... Treat underlying cause ... #Differential #
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