27 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
fistula causing heart ... telemetry for heart ... block (+/- daily EKG ... #checklist #criticalcare ... #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
: • New cardiac ... Marantic (NTBE) Differential ... Diagnosis? ... ↑ ESR, CRP • EKG ... #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... gallop • Abnormal ECG ... shock, sudden cardiac ... #Management #Cardiology
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
and Causes • Clinical ... coronary syndrome, Cardiac ... Paraclinical assessment: EKG ... Troponin Increases, Cardiac ... #cardiology #MRI
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... Diagnosis Framework ... • Aortic Valve Endocarditis ... Valve surgery • Heart ... #cardiology #BRADI
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... Diagnosis Framework ... ↑ ESR, CRP • EKG ... #Differential # ... Diagnosis #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 ... Manage acute cardiac ... Pericarditis, Tamponade EKG ... agent, steroids, AC ... #Myocarditis #diagnosis
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
be divided into cardiac ... syncope, e.g., ... or structural heart ... syncope (ruling out differential ... should be guided by clinical
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
manifestation of cardiac ... 300 = NSVT EKG ... Diagnosis: • PAC ... #differential # ... cardiology