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Episode 358 – #IDLove – Fever in The ICU

The Clinical Problem Solvers

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Navigate Complexity with a Three-Pass Approach

A structured three-pass approach is vital for diagnosing complex cases in the ICU, especially when initial treatments like antibiotics fail. The first pass focuses on standard evaluation and initial treatment. The second pass involves a deeper analysis, considering imaging results and reasons for antibiotic failure, which aids in refining the diagnosis. The third pass incorporates a wider range of potential causes, including drug interactions, endocrine issues, and less common factors such as malignancy and autoimmune conditions. This methodical approach helps manage overwhelming patient data and enhances diagnostic accuracy.

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