12 results
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... Pt had mitral valve ... a replacement valve ... #MitralValve #Endocarditis ... #a4c #plax
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... consultation • Valve ... block (+/- daily EKG ... growth or worsening valve ... of infection (e.g
Echocardiogram Windows - Nomenclature
Each view is described using three (3) components
1) Transducer Position or "Window"
Imaging Plane, e.g ... ., LAX, SAX, or4C ... Structures Visualized, e.g ... ., Mitral valve ... (MV), Aortic valve
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... Influenza Prosthetic Valve ... ↑ ESR, CRP • EKG ... aureus prosthetic valve ... #management #cardiology
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... Echocardiogram STEMI on EKG ... Echocardiogram #cardiology ... #clinical #plax
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
85% of predicted value ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology ... #management #diagnosis
Airway Intubation Checklist
GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
NC, BVM + PEEP Valve ... Free flowing IV, EKG ... PPE, Capnograph PLAN ... POST INTUBATION MANAGEMENT ... criticalcare #airway #management
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
• Prosthetic valve ... • Prosthetic Valve ... ↑ ESR, CRP • EKG ... aureus prosthetic valve ... #Diagnosis #cardiology
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
system including valves ... reservoir bag and APL valve ... known drug causes (eg ... Checklist #Diagnosis #Management ... #Workup #Cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... - Cataract Plan ... one post op Cardiology ... medical and surgical management