10 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Persistent fever, positive ... block (+/- daily EKG ... Internet Book of Critical ... #criticalcare #diagnosis ... #management
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
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... Clinical • ... gallop • Abnormal ECG ... #Management #Cardiology
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
, HD catheter, endocarditis ... most common (63%) Clinical ... : - MRI with contrast ... blood cultures (positive ... #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Blood cultures are positive ... Diagnosis? ... ↑ ESR, CRP • EKG ... #diagnosis #management ... #cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Pericarditis, Tamponade EKG ... agent, steroids, AC ... #Myocarditis #diagnosis ... #management #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... ancestry, LGE on MRI ... support for patients clinically ... Cardiomyopathy #diagnosis ... #management #cardiology
Invasive Aspergillus (IA) - Diagnosis and Management
Aspergillus is ubiquitous in nature. Most invasive infections are caused
and Management ... immunosuppression (eg ... HIV/AIDS, CGD) Clinical ... Endophthalmitis, Endocarditis ... AspGM can be also positive
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Obtain EKG if: ... Change in clinical ... one post op Cardiology ... medical and surgical management ... stratification #diagnosis
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
events. ❷ Use positive ... Obtain 12-lead ECG ... and discuss with cardiology ... in critical care ... Intraoperative #Checklist #Diagnosis