40 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
consultation • Valve ... block (+/- daily EKG ... growth or worsening valve ... #checklist #criticalcare ... #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
No prognostic value ... Osborn #JWave #Diagnosis ... #Differential # ... Cardiology #EKG ... #ECG #Hypothermia
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
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
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
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
monitoring ABG values ... the patient's diagnosis ... (e.g. pneumonia ... ), not the ABG values ... #Management #CriticalCare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Decompensated CHF, Severe Valve ... ) UOP > 0.5 cc/kg ... #Diagnosis #criticalcare ... algorithm #treatment #management
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
Bradycardia - Differential ... Diagnosis Framework ... #Bradycardia #Differential ... #Diagnosis #Management ... #cardiology #criticalcare
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
85% of predicted value ... ventricular arrythmias Diagnostics ... : EKG ($), ECHO ... Stress #Testing #cardiology ... #management #diagnosis