33 results
Non-infective endocarditis Characteristics and Pathophysiology

By Dr. Sara Dong @swinndong via #IDFellowCase

#ID  #Infectious Diseases  #Infections
#Differential
Non-infective endocarditis ... Differential #Ddx #Diagnosis ... #BCNIE #CNIE #Endocarditis ... #Cardiac #Pathophysiology
Clinical Features of Infective Endocarditis

General 
 - Malaise 
 - Clubbing 

Cardiac 
 - Murmurs
Features of Infective Endocarditis ... - Clubbing Cardiac ... - Murmurs - Cardiac ... #Infective #Endocarditis ... #PhysicalExam #Diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
dental procedure • Cardiac ... loss • Myalgias Cardiac ... : • New cardiac ... Paradoxical emboli via ASD ... Diagnosis?
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Angiography or Cardiac ... prosthetic valve, PFO, ASD ... , h/o of cardiac ... surgery, endocarditis ... Artery #Embolism #diagnosis
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Anaphylaxis - Post-cardiac ... dysfunction - Endocarditis ... Comparison #Table #Diagnosis
Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. Source: Fanaroff AC, Rymer
Coronary Syndrome - Diagnostic ... Source: Fanaroff AC ... #EBM #Diagnosis ... Atypical #ChestPain #Cardiac
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
- Differential Diagnosis ... Goodpasture's, SLE Cardiac ... regurgitation, Tricuspid endocarditis ... #Differential #Diagnosis
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
high voltage Cardiac ... posterior shoulder - AC ... especially with AC ... Electricity #Evaluation #Diagnosis
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
- Differential Diagnosis ... Bradycardia Cardiac ... • Aortic Valve Endocarditis ... syndrome • Post cardiac ... #differential #diagnosis
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
septal defect on cardiac ... Bubble #Study #ASD ... Echocardiogram #A4C