11 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
w/ septic pulmonary ... Persistent fever, positive ... block (+/- daily EKG ... Internet Book of Critical ... #criticalcare #diagnosis
Tuberculosis Testing

LATENT TB
• LTBI is diagnosed when an asymptomatic patient has a positive TST or IGRA
result with no clinical ... immunocompromised (e.g ... negative NAAT result cannot ... used to exclude pulmonary ... LatentTB #ActiveTB #InfectiousDiseases
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Blood cultures are positive ... Cerebral > Splenic, pulmonary ... Diagnosis? ... ↑ ESR, CRP • EKG ... #cardiology
Invasive Aspergillus (IA) - Diagnosis and Management
Aspergillus is ubiquitous in nature. Most invasive infections are caused
HIV/AIDS, CGD) Clinical ... presentations: • Pulmonary ... Endophthalmitis, Endocarditis ... AspGM can be also positive ... treatment #fungal #infectiousdiseases
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... #clinical #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Blood cultures are positive ... cases Culture Positive ... Cerebral > Splenic, Pulmonary ... ↑ ESR, CRP • EKG ... #cardiology #infectiousdiseases
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... cardiomyopathy • Pulmonary ... ancestry, LGE on MRI ... Cardiomyopathy #diagnosis ... #management #cardiology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... fungal stain of clinical ... arthritis, and endocarditis ... infection have positive ... ) #Mycoses #InfectiousDiseases
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... Change in clinical ... one post op Cardiology ... stratification #diagnosis