DVT complete diagnostic approach resident survival guide: Difference between revisions

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<table class="wikitable">
<table class="wikitable">
<tr class="v-firstrow"><th>Probability of infective endocaritis</th><th> Characteristics </th></tr>
<tr class="v-firstrow"><th>Probability of infective endocaritis</th><th> Characteristics </th></tr>
<tr><td>Definite diagnosis by pathological criteria</td><td>Microorganisms demonstrated by culture or histological examination of a vegetation, OR <br>
<tr><td>'''Definite diagnosis by pathological criteria'''</td><td>❑ Microorganisms demonstrated by culture or histological examination of a vegetation, OR <br>
Pathological lesions; vegetation or intracardiac abscess confirmed by histological examination showing active endocarditis </td></tr>
❑ Pathological lesions; vegetation or intracardiac abscess confirmed by histological examination showing active endocarditis </td></tr>
<tr><td>Definite diagnosis by clinical criteria</td><td>2 major criteria; OR <br>
<tr><td>'''Definite diagnosis by clinical criteria'''</td><td>❑ 2 major criteria; OR <br>
1 major criterion and 3 minor criteria; OR <br>
❑ 1 major criterion and 3 minor criteria; OR <br>
5 minor criteria </td></tr>
❑ 5 minor criteria </td></tr>
<tr><td>Possible</td><td>1 major criterion and 1 minor criterion; OR <br>3 minor criteria</td></tr>
<tr><td>'''Possible diagnosis'''</td><td>❑ 1 major criterion and 1 minor criterion; OR <br>❑ 3 minor criteria</td></tr>
<tr><td>Rejected</td><td>Firm alternative diagnosis explaining evidence of IE, OR <br>
<tr><td>'''Rejected diagnosis'''</td><td>❑ Firm alternative diagnosis explaining evidence of IE, OR <br>
Resolution of IE syndrome with antibiotic therapy for 4 days, OR <br>
❑ Resolution of IE syndrome with antibiotic therapy for 4 days, OR <br>
No pathological evidence of IE at surgery or autopsy, with antibiotic therapy for 4 days, OR <br>
❑ No pathological evidence of IE at surgery or autopsy, with antibiotic therapy for 4 days, OR <br>
Does not meet criteria for possible IE as above</td></tr>
❑ Does not meet criteria for possible IE as above</td></tr>
</table>
</table>


Revision as of 04:41, 5 March 2014

Probability of infective endocaritis Characteristics
Definite diagnosis by pathological criteria❑ Microorganisms demonstrated by culture or histological examination of a vegetation, OR
❑ Pathological lesions; vegetation or intracardiac abscess confirmed by histological examination showing active endocarditis
Definite diagnosis by clinical criteria❑ 2 major criteria; OR

❑ 1 major criterion and 3 minor criteria; OR

❑ 5 minor criteria
Possible diagnosis❑ 1 major criterion and 1 minor criterion; OR
❑ 3 minor criteria
Rejected diagnosis❑ Firm alternative diagnosis explaining evidence of IE, OR

❑ Resolution of IE syndrome with antibiotic therapy for 4 days, OR
❑ No pathological evidence of IE at surgery or autopsy, with antibiotic therapy for 4 days, OR

❑ Does not meet criteria for possible IE as above



Criteria Definite Infective Endocarditis According to Modified Duke Criteria
Pathological Criteria
Microorganisms demonstrated by culture or histological examination of a vegetation
Pathological lesions; vegetation or intracardiac abscess confirmed by histological examination showing active endocarditis
Clinical Criteria
2 major criteria; or
1 major criterion and 3 minor criteria; or
5 minor criteria
Possible IE
1 major criterion and 1 minor criterion; or
3 minor criteria
Rejected
Firm alternative diagnosis explaining evidence of IE; or
Resolution of IE syndrome with antibiotic therapy for 4 days; or
No pathological evidence of IE at surgery or autopsy, with antibiotic therapy for 4 days; or
Does not meet criteria for possible IE as above
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