19 results
management infectiousdiseases pocus signs symptoms differential ecg echocardiogram electrocardiogram marantic meningitis nbte noninfective pathophysiology pericarditis radiology abdominalus active activetb arteritis
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
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 Wellens' Sign: LAD-T Wave Inversion Life threatening T wave inversions in precordial leads. Often V2-V3 Specific
Wellens' Sign: LAD-T ... Specific for critical ... anterior wall MI ... #Wellens #Sign # ... #Diagnosis #Cardiology
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
for metastatic infection ... Persistent fever, positive ... metastatic foci of infection ... Internet Book of Critical ... #criticalcare #diagnosis
Cannon A waves during AVNRT on Physical Exam In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... that’s called “clinical ... PhysicalExam #JVP #Cardiology ... #Neck #Frog #Sign
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 Pericarditis on EKG Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... Normalization Spodick's sign ... seen in acute MI ... #cardiology #diagnosis ... #clinical
Non-Infective Endocarditis (NBTE / Marantic Endocarditis) Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
to embolize • Cannot ... pathognomonic signs ... high index of clinical ... is required for diagnosis ... - Infectious Diseases
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... high index of clinical ... heart valves • MRI ... often seen • MRI ... large infarct - Infectious
Tuberculosis Testing LATENT TB • LTBI is diagnosed when an asymptomatic patient has a positive TST or IGRA
TB • LTBI is diagnosed ... patient has a positive ... result with no clinical ... immunocompromised (e.g ... negative NAAT result cannot
Invasive Aspergillus (IA) - Diagnosis and Management Aspergillus is ubiquitous in nature. Most invasive infections are caused
Aspergillus (IA) - Diagnosis ... immunosuppression (eg ... HIV/AIDS, CGD) Clinical ... Endophthalmitis, Endocarditis ... AspGM can be also positive
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Infectious: • Pre-existing ... Blood cultures are positive ... Diagnosis? ... ↑ ESR, CRP • EKG ... #cardiology
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