11 results
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
pyelonephritis Most common cause ... uncharacterized fevers ... Consider BCx, CSF evaluation ... #Peds #EM #Classification ... #Fever #SBI #SeriousBacterialIllness
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Diamond-Forrester classification ... , and the HEART ... - History - EKG ... #diagnosis #Algorithm ... #cardiology #Angina
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for ... other causes of ... in relation to ECG ... #EKG #Pulmonary
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Actively maintained fever ... CAUSES OF HYPERTHERMIA ... amphetamines) Toxic: • Radiologic ... Phaeochromocytoma Neurologic ... Anesthesia #Checklist #Diagnosis
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
dengue severity classification ... presents fever, ... bleeding: based on evaluation ... organs #dengue #fever ... #diagnosis
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
• Malignancy (e.g ... patients with pulmonary ... OTHER RARE CAUSES ... Mediterranean fever ... #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Cerebral > Splenic, pulmonary ... Septic Emboli Cause ... ↑ ESR, CRP • EKG ... Persistent bacteremia/fevers
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
are excellent at evaluating ... with presence of pulmonary ... ECG is vital while ... the determined cause ... #algorithm #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... or family - Ever ... murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... stratification #diagnosis
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... exam • 12-lead ECG ... Electrolyte imbalance • Fever ... Pheochromocytoma • Pulmonary ... #Palpitations #Cardiology