dr.infection
Staphylococcus aureus (SA) bacteremia (either MRSA or MSSA) is always something that needs to be METHODICALLY evaluated; it can be a very complicated infection. What you see here is an abdominal CT. Arrow is pointing to a very abnormal left kidney surrounded by a large peripherally enhancing retroperitoneal (RP) fluid collection. The patient is an elderly man living at home with a PICC line (in place for "frequent blood draws"; don't get me started !) He's maintained on Coumadin. He falls, get admitted to the hospital. Has this CAT scan done. Because of a leukocytosis, 2 admission blood cultures are drawn isolating MSSA. PICC line is removed. RP fluid collection is tapped; isolates MSSA. Drain is placed; but drain placement is inadequate for removal of entire abscess. I prescribed Nafcillin and because MSSA bacteremia persisted, I was asked "shouldn't we start IV vancomycin?" My response: Why ? Why would you start a suboptimal antibiotic for this bacteremic state ? Persistent bacteremia is not always a reason to change antibiotic Rx ! Surgeon took patient to OR for surgical debridement; MSSA bacteremia cleared. Benign echocardiogram; no other suspicion for other areas of metastatic infection; patient treated with a 6 week post Debridement course of IV beta lactam antibiotic. But this time, PICC line will be removed after IV antibiotic Rx ends. #futurephysician#do#medstudent#medicalschool#infection#compassion#rn#futurern#nursingstudent#pharmacist#pharmacy#futurepharmacist#pa#pastudent#np#abscess#science#catscan#radiology#coumadin#fall
futurephysician - do - abscess - compassion - futurepharmacist - infection - pastudent - fall - coumadin - medicalschool - futurern - radiology - medstudent - nursingstudent - science - pharmacy - catscan - pa - np - rn - pharmacist -
tessastarrelder : @dr.infection so you think the infection could have been caused by the PICC?? Do PICCs often cause MRSA or other infections? When a patient with a PICC or a central spikes a temperature and you're not sure why is that always a possibility?
dr.infection : @tessastarrelder Oh yes ! Cause of bacteremia in this case is the PICC line. Any IV line (PICC line, permacath, or even a hep well) can cause a bacteremia--> and a very complicated infection. If a patient with a chronic IV line has a fever, please please please consider bacteremia ! Check blood cultures.
brittaby22 - emstiu - maliikahh - patrick_garvey -
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miss_bebe_helm
#inthehospital #ekg #catscan #chestxrays #chestpain #headpain #highbloodpressure #northfultonregional #alpharetta #drugged #stillfeelbad
chestxrays - stillfeelbad - ekg - drugged - highbloodpressure - inthehospital - northfultonregional - catscan - headpain - alpharetta - chestpain -
miss_bebe_helm : Maybe now @shemarfmoore will agree to marry me before I die......
madamar85 : @miss_bebe_helm hope everything is alright! Thinking of you! Hugs
hypertension_support - madamar85 -
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cannondale6
My cat scan results. #ride #ride365 #ridehard #RideLife #bike #bicycle #bikelane #bikelife #ridetodayornot #chain #cycle #cycling #crank #bikeride #mybigride #Incycle #wheel #catscan #medical #doctor #scan #cat #brain #cannondale #EVO #behindbars #behindbarsforlife #skull #strava
wheel - strava - bicycle - chain - scan - ridelife - behindbarsforlife - bikeride - behindbars - brain - ridetodayornot - crank - ridehard - medical - cycle - incycle - cycling - ride365 - skull - doctor - cannondale - ride - evo - bikelane - cat - catscan - bike - mybigride - bikelife -
rubber_bln_ldn - podiumcycling - caradelocobcn - _kingmurphy_ -
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inthefaceofruin
#baskingshark #catscan #ct #shark #dissection #plastication
catscan - shark - plastication - dissection - baskingshark - ct -
yasioux - jerm0681 - lauren0burgess - sethschonfeld -
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surgicalcapsdotcom
#Bono #U2 #pauldavidhewson high speed #bicycle accident in central park #nyc very bad arm injuries facial injuries. #cycling accident 5 hours of #surgery #orthopedics #nursing #catscan #xray months of #rehabilitation
xray - bicycle - surgicalcapsdotcom - cycling - nursing - u2 - catscan - pauldavidhewson - bono - nyc - orthopedics - surgery - rehabilitation -
surgicalcapsdotcom : 1. Left facial fracture involving the orbit of his eye.
surgicalcapsdotcom : 2. Left scapula (shoulder blade) fracture in three separate pieces.
surgicalcapsdotcom : 3. Left compound distal humerus fracture where the bone of his humerus was driven though his skin and the bone was in six different pieces. He was taken emergently to the operating room for a five-hour surgery Sunday evening where the elbow was washed out and debrided, a nerve trapped in the break was moved and the bone was repaired with three metal plates and 18 screws.
surgicalcapsdotcom : 4. One day later, he had surgery to his left hand to repair a fracture of his 5th metacarpal.
bikesandbrews : bikes ruuuuuule
surgicalcapsdotcom : Dean Lorich, MD Orthopedic Trauma Surgeon New York Presbyterian/Weill Cornell Medical Center and Hospital For Special Surgery
blu613 : Damn😩
piccolacoccy : @cristianacappucci @bruketz 😳
alirezashafiian - miss_kris1221 - natsantanar - spfaddict -
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emjayyap
#CATscan #MRI
catscan - mri -
little_diduknow - cotygiannelli - j_reb -
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k_sosa1
Told the doc I wanted perks #HospitalSwag #IdkHowIDroveHere #XRay #CatScan #Concussion #DislocatedShoulder
hospitalswag - xray - dislocatedshoulder - catscan - idkhowidrovehere - concussion -
valentina_cantelli : @chiefkeef
alannace : Yea keep playing football #blowjob#playfoootballtheysaid#itwillbefuntheysaid
lexmata : Ill bring u some baking soda
ozzysalvatierra - humzz94 - thescibsshow - marlymarie -
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c_wayne71
Apparently got a Arachnoid cyst in my head and am going to need to have surgery probably! #CatScan #Xray #ER #ScrewThis #FightNight #nevergoingtoquit #jacksonvillenc #Jameson #TeamNoSleep #DeathBeforeDishonor
teamnosleep - screwthis - jameson - xray - catscan - fightnight - deathbeforedishonor - jacksonvillenc - nevergoingtoquit - er -
ashleyyyniichole : @c_wayne16 prayers! Miss you budd!
marina17xx : Hope you're okay !
liztone : Have you said anything to your mom? Keeping you in my prayers.
c_wayne71 : Nahh it's nothing Serious and I'll figure it out Monday and tell her @liztone
jessssiexo_ - kristen_favre - k_respess - wowens116 -
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caraorra
C'mon 5:30 am... Ive got four days off ahead of me! #workflow #ctscan #catscan #radiology #thirdshift #nightshift #career #Icanseerightthroughyou
radiology - workflow - nightshift - ctscan - icanseerightthroughyou - catscan - career - thirdshift -
chrispohorence : Love it! let's work together,shoot me an email chrispoho15@gmail.com
einarmuoniphotography - hill.gayle2014 - alexander_l_stoner23 - drunkenroustabout -
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lalastjames
catscan - asthma - stillcute - behappy - bed - xray - staystrong - vegas - sick - better - lungproblems - weird - thumbsup - smiling - contrast - nauseas -
lalastjames : So for some reason I had a weird nasty nauseas reaction after the contrast at the radiologist today, I slept for a few hours and I feel great again but I'm still having icky breathing problems lol 😊👍 BTW I totally don't know how to do the thumbs up is that weird?😂 #bed #weird #lungproblems #xray #catscan #contrast #sick #thumbsup #stillcute #vegas #nauseas #smiling #better
lalastjames : #behappy #staystrong
lalastjames : #asthma
headipip : 👎
lalastjames : Well actually it's kinda here now 😂👉 in the middle @headipip
jenschaefer1 - ilovemjmore - shawnee_smiles - devonrene27 -
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stephanie_lamanna
Friday night = Study night 👓 #ourfridaynight #beer #wine #studying #preparing #catscan #registryreview #techlife
studying - catscan - beer - preparing - registryreview - ourfridaynight - techlife - wine -
pamela4887 : 🍹+ 📓 = amazing 👍😂
stephanie_lamanna : 👓📓👌 @pamela4887
salfun11 : 😁 haha! @stephanie_lamanna
christinaagraziano - pamela4887 - chrissorrentin0 - jfroncillo -
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trapslikeackbar
Boogle likes my tree safety harness strap almost as much as I do #safetyfirst #catscan #orangechair #furrykitty
catscan - orangechair - furrykitty - safetyfirst -
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boyblundr
#catscan
catscan -
futurevon : !! @kaolinek
futurevon - maximumdamage - lilraccoon - autumnbombs -
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caitlin_karolczak
Hard at work. #catscan #shopcat #gallerycat #catsofinstagram
catscan - catbutt - catsofinstagram - gallerycat - shopcat -
caitlin_karolczak : #catbutt
irwiniantheory : Yeah!!!
gawartist : I love cats!!! Yours is a great cat
naked_soul_poems : Nice!! :)
joesinness : @jbbuttons @bowenkitty lets do this
faffyham : @danieldegnan
alspaj : #catbutt!
asetaawo : Haha, cute!!!😂
asetaawo - dtmarks - tdsimpson56 - 20cherrymz -
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_rebel_rachel_
#headachessuck #why #pleasestop #needanswers #mri #catscan #ctscan #soon
ctscan - soon - needanswers - catscan - mri - pleasestop - why - headachessuck -
ooowildkid - gardengrownnj - hannah_stylistt -
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_rebel_rachel_
Every freaking day!!! #headachessuck #why #pleasestop #needanswers #mri #catscan #ctscan #soon
ctscan - soon - needanswers - catscan - mri - pleasestop - why - headachessuck -
hannah_stylistt : Hope your head feels better right away I really wish you better Rachel 😘💋💌
gardengrownnj - hannah_stylistt -
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northernsoundofficial
#mastersofhardcore #mohrussia #northernsound #ozzo #nscrew #wastedmind #daymar #mcthawatcher #catscan #bassd #outblast #negativea #angerfist На пике всеобщего ожидания, в момент, когда многие уже отчаялись услышать это Имя, мы готовы, наконец, огласить последнего артиста! Мы не могли оставить без внимания ваши просьбы... мы видели, какой ажиотаж и волну музыкального единства поднимает одно лишь упоминание о Нём. Имя, покорившее сердца слушателей по всему миру и, кажется, за пределами нашей галактики тоже! Имя, олицетворяющее всю мощь и атмосферу хардкор-музыки! Имя, для которого уже давно нет пределов в области музыкального и сценического безумия, которым он снова и снова делится со своими последователями! В эту ночь, полную мерцания лазеров и света софитов, на нашу сцену поднимется истинный патриарх Хардкор-Олимпа и доведет до абсолюта эйфорию каждого участника фестиваля своим несравненным саундом. Человек в маске не признаёт компромиссов. Он никогда не носит беруши и так же не даст пощады и вам! Специально для Вас он собирает чёрный ящик со сверхядовитым и шокирующим арсеналом своего нового альбома, который скоро обрушится на танцпол. Дата атаки известна... Приготовьте свои уши и ноги к абсолютному безумию во время его выступления и пусть каждая клеточка вашего тела живёт в эти минуты только хардкором! WWW.MOHRUSSIA.RU || VK.COM/MOH2015
nscrew - catscan - mohrussia - northernsound - negativea - outblast - mcthawatcher - bassd - wastedmind - mastersofhardcore - ozzo - daymar - angerfist -
galkin_alexey_ : Ну все нам всем пи#да^^
graffski_photo : Ну всё по канону жанра, куда ж мох и тем более в мск без него.
cocofm_ : Nice!!
quentin_ninou : Angerfist !!! 😱 👌
psyko4thebeat : RAISE YOUR FIST FOR ANGERFIST!!!✊
nixen_p : Ну вот и чудненько.
_wada_ - vlads22 - highenergyevents - yolobroather10 -
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decemberdisaster
Hey babes! Haven't been on in a while! Hope you're all doing fine💙 #weak#broken#hurt#accident#hospital#xrays#catscan#painkillers#sad#pain#smile#beautiful#strong#staystrong#lips#blackandwhite#follow4follow#followforfollow#like4like#likeforlike#instadaily
beautiful - pain - blackandwhite - staystrong - weak - sad - broken - lips - follow4follow - instadaily - hurt - painkillers - accident - followforfollow - hospital - catscan - likeforlike - strong - smile - like4like - xrays -
ceyda_ylmaz : Follow for follow💕
decemberdisaster : Awnn thanks honey! Of course 😘💞 @estioc thank you! @angelica._.g and yess💞 @ceyda_ylmaz
angelica._.g : Np @decemberdisaster
fitfreakzcrew : This is awesome!
decemberdisaster : Thank you!😘 @fitfreakzcrew
keep_fighting_youcandothis : You're gorgeous!😍💕
decemberdisaster : Awnn thanks!😍 @keep_fighting_youcandothis
keep_fighting_youcandothis : Of course😊
aalex_6658 - grixa666 - ysarceno1 - _nastenka_star_ -
instagram
sarahsfca
Long day today. Got a bunch of tests done. Blood drawn. All came back good. Positivity is the key😊💉🍀 🏥 #ucsf #ultrasound #catscan #ovaries #appendix #positivity #bloodtest #allgood
bloodtest - allgood - positivity - ovaries - catscan - ultrasound - appendix - ucsf -
_angelikajohnson_ - sfladybug99 - ryanfinn1995 - jilliantheedumbl0nde -
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3beesandahoney
CBgirlie is waiting for her #CatScan
catscan -
newberrys - greystlindsay -
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bohoj
My fun trip in the hospital... It's good to be back at home and feeling better again.😷😊🏡😁 #hospital #ouch #iv #selfie #selfiesunday #swagnightgown #rockon #trooper #catscan #nofun #hospitalfoodsucks #ambulance #homesweethome #myboyfriendbroughtmeflowers
nofun - selfiesunday - hospitalfoodsucks - selfie - ouch - iv - catscan - myboyfriendbroughtmeflowers - rockon - ambulance - hospital - swagnightgown - trooper - homesweethome -
destiny_leduc : Bae wtf happened to you? I hope you feel better 😭😵😘
bohoj : Awww thanks doll! I guess the doctors said I had an ovarian cyst that exploded it's super common apparently and I had to spend a few days bed ridden and on pain meds till the pain and internal bleeding stopped. I'm all good now though.😊 @destiny_leduc
destiny_leduc : Awh yea I'm happy that your okay
exitfourtytwo : She's a trooper.❤️😊
nataly3612 : Hope u feel better bay😚 @bohoj
helenhreyes - starynight1313 - nataly3612 - lizbeethgarciaa -
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insta_techs
Can anyone guess what the hell this is???? Winners gets a shout out, losers stays a loser. #radiology #xray #catscan #mri tag someone who might know our likes to play guessing games
xray - catscan - radiology - mri -
gymlife1917 : Lead blocker on cassette
_debbiedoo : Tape over a marker on a cassette
amor_m10 : A letter (L) 😁
oliviadst10 : Collimation
toddabod : Snaffle tooth
toddabod : I change my answer to what is fractured rib please Alex
imso_meyvelin : Bullet
torriesrose : Bullet fragment
jennyb0925 - nataliev89 - felipegarciajr1 - joser_1 -
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cbsmith45
just got my iv #hurtin#iv#catscan
hurtin - catscan - iv -
gingerc157 : What is going on???
lmjfjames : I love you Cole. Stay strong! We're sending love and healing thoughts your way ❤️
kyliebug2004 : What happened
chloe22blue : What happened
batman_bro90 - girlieself - peytonc1212 - meganut216 -
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andrea.creason
Children hospitaling it up!!! #MRI #Catscan #killme #BLOOD #:'( #nogood
catscan - nogood - killme - mri - blood -
deckermatthew - _m.a.r.1.a.h_ - taylour104 - oakkleyy_00 -
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cbsmith45
mri here i come #mri#catscan#dontwantto#help!!!!
catscan - mri - dontwantto - help -
lmjfjames : Why are you having an MRI?
cbsmith45 : cant see out of my left eye and they think its something behind my eye
gingerc157 : Prayers coming your way Cole! Why didn't you call or text me?
morgan_chandlerrr - lmjfjames - peytonc1212 - meganut216 -
instagram
oliviadst10
#radiology #professional #QA #nightshift finishing up my shift #catscan
qa - professional - radiology - nightshift - catscan -
inthefaceofruin : Oh QA... how I hate you.
oliviadst10 : @inthefaceofruin ditto
inthefaceofruin - mzperrodin2u - hollywoodsuits -
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manuel_little_channel
Hmmmm "Hello doctor, nice to meet you 😘😘😘" 😂😂😂😂 #InstaGood #InstaCool #InstaDaily #InstaDay #InstaNight #InstaFunny #Comedy #ForReal #Funny #BeLike #IBeLike #InstaWorld #Cray #FollowBack #FollowForFollow #F4f #Followers #FunnyPictures #TheStruggleIsReal #Doctor #CatScan
instanight - followback - thestruggleisreal - belike - instafunny - ibelike - forreal - funnypictures - instaworld - instadaily - instaday - funny - doctor - followforfollow - cray - instagood - catscan - instacool - followers - f4f - comedy -
morgan_titzer : @hannaallen__
sexygirljess : @badgurlnash
mrbently0608 : Lmao
michaelbravado : 😂😂😭
_sammy_hay_ - stefansweden - j03y1badass - walterjuniorcapelli -
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dr.infection
I am a visual learner ! Diagnosing bacterial pneumonia (either CAP or HCAP) is more obtaining an abnormal chest imaging study (CXR or chest CT). It is a clinical diagnosis; based on symptoms, presentation, physical examination findings, & other objective data. (labs, diagnostic tests & imaging studies). Just because the word "pneumonia" appears on a radiology report does not mean that the patient has pneumonia. For the students (or future students) in the audience do not make a common student mistake & read the radiology report to the attending physician; you have to look at the imaging study yourself & attempt to interpret the study. If you ever round with me, I want to look at the film with you; anyone can read the radiology report. That's how you learn & it can be fun to compare your impression with that of the radiologist. What you see here (arrow is pointing to it) is an air bronchogram in a chest CT. (remember air is black) An air bronchogram refers to the the phenomenon of air filled bronchi (black) being made visible by the opacification of surrounding alveoli (gray). It is almost always caused by a pathologic airspace/alveolar process. (pneumonia, edema, infarction, etc) This patient had pneumococcal pneumonia & was quite ill. I treated patient with levofloxacin. #pneumonia#radiology#CATscan#medstudent#medicalschool#infection#antibiotic#pharmacist#futurephysician#science#futurern#rn#pa#np#internalmedicine
futurephysician - futurern - radiology - antibiotic - medstudent - science - pharmacist - infection - catscan - pneumonia - pa - np - rn - internalmedicine - medicalschool -
dr.infection : @roheel_alam You are correct; air is normal in any airway passage. Was isn't normal is the fact that you can seen the airway because it is surrounded by pathology (pneumonia, etc). Your stated thought process is correct. You see ... 😀😀😀
dr.infection : @roheel_alam Thanks. Great question too.
roheel_alam : Thank you for the response :))
mahmoudjamal_ : @3.j1 @mousa_hussain @bo_rakan__ @azizxd
mfdarab : @michelle_s_k_s @yourstruly8
lavishli : @ksmoove7
momof2chocdivas : @medsoulbrother @th0rped0 @smvelove @instanursing
dr.infection : @nic_bechet
alejandroalves - jennyesthetician - courtneyyyyy_marie - arezooak -
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are_u_my_nurse
😂😂 the nonsense my friends text me with ...i love it though #catscan #laugh #laughter #funny #humor #foolishness
catscan - funny - humor - laugh - laughter - foolishness -
gatolove69 : #rp...lol
are_u_my_nurse : Lmao ..that nut Ralph sent me this 😂 @gatolove69
goodjubdallas : @kaisims
liss_jesus2 : Lol
giselle_s_9 - pinkhotstepper - msginger2013 - jacalynumwarnecke -
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trent_goodies
whata fine day to spend within the ER #catscan#appendix#sickaf
catscan - appendix - sickaf -
foxxybear97 : That sounds fun
steven_giresi_ : Nice pickle
21____12 : ^
trent_goodies : nice gurken @steven_giresi_
austin_nowak38 : What the fuck happened my dude @trent_goodies
trent_goodies : i got really sick and had to get my appendix checked up on cause they thought they might have to remove it but i was lucky for it to just be gastroenteritis
josphsdtalin : 😍😍😍😍😍
jake_petralia32 - islesfan98 - kae_johnston - m_mccormick_21 -
instagram
amparodelaoscuridad
I ❤️ radiology! Only have two weeks left! 💀 #xrayvision #xray #catscan
xray - catscan - xrayvision -
hescoseez : Where you working at?
lilyyvee : 💩
amparodelaoscuridad : @hescoseez I'm doing ct clinic at cedars
hescoseez : Nice. Hope we can work together one day. I'm at kaiser downey.
esnitsol_eltigre_ledesma - alayadash - kriskruz - lestat_661 -
instagram
secret_the_cat
Nothing to see here, just an empty box on the floor 😹 #cat #cats #invisible #catsofinstagram #catstagram #camouflage #camo #kitty #yingyang #instagood #instagramcats #catscan #catriley #catrickdempsy #lol
catstagram - catrickdempsy - instagramcats - catsofinstagram - kitty - camouflage - cat - catscan - cats - camo - lol - catriley - invisible - yingyang - instagood -
khuntum96 - ardellxgshant - purrrfectpals - naoedes -
instagram
foreverxxfearlessxx
This is the greatest thing ever😂😂 #cats #kitten #kittys #feline #puns #cat #kittens #kitty #felines #joke #jokes #copycats #copycat #pawprints #scanner #catscan #punny #funny #hilarious #thisisthebest #tumblr
scanner - kittens - kitty - tumblr - funny - copycats - thisisthebest - kitten - pawprints - copycat - joke - feline - kittys - cat - catscan - jokes - felines - puns - hilarious - cats - punny -
andrea_lani : sweeeeet @davenwilson
cumfess - yourdailypets - rebeccawynnia - findusthemainecoon -
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