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EM@3AM: Murine Typhus

EMDocs

Centers for Disease Control and Prevention. Clinical Infectious Diseases , vol. Ischemic Hepatitis and Septic Shock Secondary to Murine Typhus Infection in Pregnancy. The RUSH exam: Rapid Ultrasound in SHock in the evaluation of the critically lll. Flea-Borne Typhus. Accessed August 19, 2024. 2003;52(50):1209-1211.

EMS 105
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emDOCs Podcast – Episode 115: Adult Meningitis

EMDocs

A 2020 Cochrane review found the pooled sensitivity was 65%. Bacterial Meningitis Mimics: Other flu-like illnesses: COVID, influenza, toxic shock syndrome, myocarditis, endocarditis, spinal epidural abscess, pneumonia. Toxicity: Carbon monoxide poisoning Time Course: Typically, a rapidly progressing disease process.

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Imported Malaria

Pediatric EM Morsels

falciparum accounts for >70% of cases of imported malaria , primarily seen in those returning from travel in Sub-Saharan Africa (Mischlinger 2020) Other species include P. Travel Medicine and Infectious Disease 44 (2021) 102196. 2020 Mar 11;33(2):e00104-19. vivax , P. malariae , and the less common P. vivax and P.

Seizures 281
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EM@3AM: Pediatric Osteomyelitis

EMDocs

2020 Jun;8(6):e19.00202-e19.00202. Infectious disease expertise is useful as the optimum duration of treatment is not well established. Pediatric osteomyelitis treatment algorithm. 4 Adapted from: Gornitzky AL, Kim AE, ODonnell JM, Swarup I. Diagnosis and Management of Osteomyelitis in Children: A Critical Analysis Review.

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2023 Critical Care Year in Review (Part 1)

PulmCCM

Sepsis, infectious disease Managing septic shock with a restrictive-fluids approach (preferentially using vasopressors after a single liter crystalloid bolus) led to similar outcomes as the usual practice of bolusing large volumes of fluids first. Either approach in severe sepsis with shock seems reasonable.

Sepsis 94
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Diagnostics: Inflammatory Markers

Taming the SRU

Spinal Infection: According to the Infectious Disease Society of America’s (IDSA) 2015 guidelines for native vertebral osteomyelitis, CRP and ESR in the setting of protracted back pain have sensitivities ranging from 94 to 100% for ruling out infection and malignancy in these patients. 2020 Nov 20;99(47):e23315. J Med Virol.

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EM@3AM: Testicular/Scrotal Abscesses

EMDocs

doi:10.1186/1757-1626-1-165 Hackett B, Sletten Z, Bridwell R E (July 03, 2020) Testicular Abscess and Ischemia Secondary to Epididymo-orchitis. Clinical Infectious Disease. J Emerg Trauma Shock. Published 2008 Sep 19. Cureus 12(7): e8991. doi:10.7759/cureus.8991 8991 ​​Schlossberg D. Cambridge Univ Pr. Insights Imaging.

EMS 94