11 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... Consider repeat echo ... of infection (e.g
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... , hemoptysis Treatment ... • Carbapenem (e.g ... meropenem) #Lung ... #Pulmonary #Clinical
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... (pulmonary support ... Lmin (100-150 mL/kg ... oxygenator • Assess ... perfusion (eg,
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Lung abscess ... Lung Abscess - Clinical ... • Vasculitis (e.g ... #Abscess #pulmonary
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Cerebral > Splenic, pulmonary ... nodes • Roth’s spots ... cultures • 2D Echo ... ↑ ESR, CRP • EKG
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
ventilated • CXR, Lung ... US, Echo, LE doppler ... , CTA • ECG ... #Exacerbation #treatment ... #pulmonary
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
, verrucous) - Lung ... Cerebral > Splenic, Pulmonary ... nodes • Roth’s spots ... ↑ ESR, CRP • EKG ... hematuria, + RF Treatment
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Establish IV/IO Access ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... elevated JVP, echo ... #criticalcare #treatment
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal ... o infection • Echocardiogram ... recent DAN) • EMG ... sparing of the lung ... diagnosis #management #treatment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Assess functional ... murmur 3/6) - Pulmonary ... indicated • EKG ... Obtain EKG if: ... unless prior heart/lung