:28:00
This has been a very commendable workup.
:28:03
It's as commendable a workup of an FUO
as I can remember.
:28:06
The staff on this floor is to be applauded.
:28:09
All right, let's go take a look at the girl.
:28:12
It's a reportable case, Brubaker.
I'd write it up.
:28:17
Nurse...
:28:19
who's the senior resident on this floor?
:28:21
That would be Dr. Brubaker.
But he's at Chief-of-Service rounds, now.
:28:26
That's this way?
:28:31
I wonder if there's some correlation between
hepatic tuberculosis and drug addiction.
:28:36
Presumably, there was an early
consideration of SBE?
:28:39
Yes, sir. We discounted it
after repeated blood cultures were negative.
:28:43
- You, Ambler. Is that right, "Ambler"?
- Yes, sir.
:28:46
What else do you look for
in Bacterial Endocarditis?
:28:54
Dr. Brubaker, can I see you
for a minute, please?
:29:03
Still a little icteric.
Who's got an ophthalmoscope?
:29:12
Did anyone note Roth spots?
:29:16
Don't worry about it. There aren't any.
:29:19
Ambler, you're our big man on SBE.
:29:22
- What was the latex fixation?
- It wasn't done, sir.
:29:29
Don't you think that's an important test
to differentiate SBE from miliary TB?
:29:33
Not you, Biegelman. Ambler.
:29:36
There's about a 70 percent incidence
of false-positive latex in SBE.
:29:40
You have been reading up.
:29:42
If the diagnosis were SBE...
:29:44
would a positive latex
indicate anything in the therapy?
:29:47
- We'd expect the latex to become negative.
- Lf...
:29:50
If the antibiotic therapy were successful.
:29:53
- Are you applying for your internship here?
- I'm not sure.
:29:56
Come and see me.
Would you sit up, please, miss?