14 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
sets at three different ... w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue ... Infectious • Endocarditis ... Chronic Obstructive Pulmonary ... Disease Neurologic ... • Drug Abuse (e.g
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... Triage EKG (no prior ... #Embolism #ECG ... #EKG #Electrocardiogram ... #clinical #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... Treat underlying cause ... Control rate (e.g ... Treatment #management #cardiology ... #algorithm
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Septic Emboli Cause ... ↑ ESR, CRP • EKG ... Treat underlying cause ... diagnosis #management #cardiology
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
risk factors (eg ... hypertension (eg ... 109 mm Hg) with clinical ... hypertension (eg ... Neurologic disorders
Pulmonary complications of targeted therapy
-Immune checkpoint inhibitors (e.g. pembrolizumab)
-Pneumonitis is uncommon (~5% of patients) but can
Pulmonary complications ... checkpoint inhibitors (e.g ... There are case reports ... #Clinical #Diagnosis ... #Radiology #Honc
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
Culture-Negative Infective Endocarditis ... antimicrobials, clinical ... but important causes ... factors: - Serology ... special stains (e.g
Invasive Aspergillus (IA) - Diagnosis and Management
Aspergillus is ubiquitous in nature. Most invasive infections are caused
infections are caused ... immunosuppression (eg ... HIV/AIDS, CGD) Clinical ... presentations: • Pulmonary ... Endophthalmitis, Endocarditis
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g