21 results
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 #management
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
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 ... Evaluation #Diagnosis #Management
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... involvement • Cardiac ... clinical concern for endocarditis ... IDSA #Guidelines #Management
Cardiac Valve Replacement - Anticoagulation INR Targets and Antiplatelet by Valve Type

Bioprosthetic valves require at least
Cardiac Valve Replacement ... monotherapy (2017 AHA/ACC ... valve (2017 AHA/ACC ... #Management #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Manage chronic cardiac ... agent, steroids, AC ... Myocarditis #diagnosis #management
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
Radiation Injury
Acute Radiation Toxicity primarily affects rapidly dividing cells based on dosage
Hematopoiteic - Pancytopenia, Infection
 •
• Onset Hours Cardio ... lymphocyte count = ALC ... at 48 hours • ALC ... prognosis • ALC ... Toxicity #diagnosis #management
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Endocarditis - Overview ... dental procedure • Cardiac ... loss, Myalgias Cardiac ... : • New cardiac ... Paradoxical emboli via ASD
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
July 2015 the ACC ... help stratify cardiac ... Stratfication #Management