1/ Are you an @ID_fellows? Planning a future in ID?
In honor of #IDWeek2021 Fellows Day and our newest ep, let's 🔗to some ID learning tools! Use these to study for boards or just save to reference thru your training!
3/ @SAIRABT + @swinndong discussed the most impt resource = daily pt care+fellowship didactics!
What do you use to remember #IDMedEd you've learned?
Are you a notebook person?
How about taking those notes and adding #IDDailyPearl to share your knowledge with #IDTwitter!
4/ The GW ID Board Review Course is an excellent resource for boards. If you missed the livestream option, you can still access the Homestudy or Online Express Version.
What are some of your favorite #IDMedEd and ID fellowship accounts?! @ID_fellows
9/ I forgot to mention on the audio, but don't miss the excellent @UW_IDEA National HIV and STD curriculums. Excellent modules for learning + questions!
11/ Will end w/@febrilepodcast of course! Whether its the audio, references in Consult Notes, or graphics - I hope you can use this resource as a way to both learn + teach ID!
1/ We covered a MASH of pearls during the most recent episode with @SAIRABT ! Let's take a look at some of those points with some new (and prior) @febrilepodcast graphics!
For example, what @ID_fellows hasn't gotten called about rabies?! Check out this refresher #IDMedEd
2/ Rash + eschar + fever should make you consider vector borne rickettsial diseases! See a compare/contrast guide below
3/ We talked about the big 3 orgs to remember with eosinophilic meningitis = ABG! Some notes on those infections + a list of other possible causes of eos meningitis
3/ There are 2 algorithms - do you know what your lab uses?
📘Trad'l starts with nontrep test ➡️then uses trep test to confirm dx
◀️Reverse sequence starts with TT➡️then use NTT to stage your pt
Use this diagram to help sort the possible scenarios 👇
2/💉Bacille-Calmette-Guerin (BCG) immuniz. against TB is a group of related live vaccines derived from attenuated M.bovis.
🌏Used in >100 countries, most widely administered vaccine in world
🧠Given to ⬇️incidence of TB meningitis + miliary dz in children
1/ A great part of our newest ep. is the discussion about immigrant & refugee health assessments. Check out the great image from our guests @AliceCLehman@LeaGoren@thie0149 ! 👇
2/ Children born outside of the US are vulnerable to increased morbidity due to the lack of awareness of their migration journey and indications for screening/tx. @AliceCLehman outlined some of the definitions that are often used
3/ A key point from @AliceCLehman: refugee children are provided predeparture screening/treatment, which is coordinated with the International Office of Migration -- but immigrant/migrant children do not always undergo the same screens; may have variable predeparture environments
1/ Liver abscess is estimated to occur in about 1/3 of patients with CGD. In the episode, we discussed how a liver abscess may have distinct characteristics in the setting of CGD
2/ PLA in CGD:
📌septate mass surrounded by a thick pseudocapsule
📌Inside=dense inspissated fluid.
📌Can be homogenously enhancing on imaging while small, but then develop mult locules separated by thick enhancing septations with intense halo/rim of enhancement around abscess
2/ A lot of info for 1 page but a few 🗝️points:
🔸Pyogenic+amebic liver abscess can be indistinguishable on imaging
🔸Echinococcus: check out the WHO classification
🔸Ddx mul small solid nodular liver lesions has a wide ddx. For ID, includes TB/Bartonella/Disseminated fungal inf
3/ Here is a nice summary article tackling liver infection imaging + potential pitfalls:
The authors had a flowchart to help think about ddx based on imaging ➡️their 1st branch point = dominant cystic lesion or multiple small solid nodular lesions?