16 results
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
is required for diagnosis ... heart valves • MRI ... in up to 30% of cases ... often seen • MRI ... #comparison #infective
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
- Differential Diagnosis ... Infective Endocarditis ... Vascular #JointPain #MSK ... #Differential #Diagnosis ... #Orthopedics #Causes
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
- Most Common Cause ... TTE, TEE, CT or MRI ... cardiac surgery, endocarditis ... #diagnosis #differential ... scoring #criteria #cardiology
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 ... in relation to ECG ... #EKG #Pulmonary ... #diagnosis #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Cause Injury By ... ↑ ESR, CRP • EKG ... Treat underlying cause ... #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... A4c #clinical #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Sister had MI in ... Differential/diagnosis ... #Embolism #ECG ... #clinical #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... sets at three different ... w/ septic pulmonary ... with multiple embolic ... #criticalcare #diagnosis
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Cerebral > Splenic, Pulmonary ... cause injury by ... ↑ ESR, CRP • EKG ... Treat underlying cause ... #cardiology #infectiousdiseases
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
- Differential Diagnosis ... Respiratory: • Pulmonary ... Embolism • Hypoxia ... Syndrome #Syncope #Cardiology ... #Algorithm #causes