48 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... consultation • Valve ... growth or worsening valve ... Internet Book of Critical ... #diagnosis #management
Relative Risk of Various Predisoosing Conditions for Infective Endocarditis 
High Risk:
 - Prosthetic valves 
 -
for Infective Endocarditis ... - Prosthetic valves ... - Aortic valve ... #RiskFactors #Cardiology ... #Diagnosis #Differential
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
fibrillation Clinical ... No prognostic value ... Osborn #JWave #Diagnosis ... #Differential # ... Cardiology #EKG
Inverted P Waves:
(A) Ectopic atrial rhythm
(B) Junctional rhythm 

#Inverted #PWaves #cardiology #diagnosis #ekg #ecg #electrocardiogram #differential
Inverted #PWaves #cardiology ... #diagnosis #ekg ... #ecg #electrocardiogram ... #differential # ... clinical
Non-Infective Endocarditis (NBTE / Marantic Endocarditis)
Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
the surface of valve ... left-sided heart valves ... embolize • Cannot differentiate ... absent How can we differentiate ... high index of clinical
Mobitz Type I (Wenckebach Phenomenon) 2nd Degree AV Block on EKG
 • P-R interval gradually increases
Degree AV Block on EKG ... conduction ratio varies ... Block #AVBlock #diagnosis ... #cardiology #EKG ... #labeled #clinical
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
fever, Infective endocarditis ... • Prosthetic valve ... Mitral annulus valve ... Regurgitation #differential ... #diagnosis #cardiology
Causes of Severe Aortic Regurgitation - Differential Diagnosis
Acute:
 • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
Regurgitation - Differential ... Diagnosis Acute ... Acute Infective Endocarditis ... Acute Prosthetic Valve ... #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... #Endocarditis #diagnosis ... #management #cardiology
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential