22 results
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
therapy - Number one cause ... Eg: C. burnetii ... Fungal (Histoplasma ... BloodCultures #Diagnosis #Management ... #Algorithm
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... production to cause ... arrythmias Diagnostics: EKG ... SPECT ($$$), PET CT ... #cardiology #management
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
-
Management Algorithm ... criteria - ED testing ... electrolytes, CXR, ECG ... include cranial CT ... #Algorithm
Pulmonary Nodule
Evaluation is guided by nodule size & assessment of probability of malignancy. In addition is
available diagnostic testing ... are called lung masses ... nodules (no solid component ... Management options ... Larger solid components
Hypertrophic Cardiomyopathy (HOCM) - Diagnosis and Management
Diagnosis
 1. Wall thickness 215 mm (TTE/CT/MRI) 
 2. Absence
Diagnosis and Management ... thickness 215 mm (TTE/CT ... Absence of Secondary Cause ... Supportive: genetic testing ... #Cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Key Components: ... event, follow ACC algorithm ... Obtain EKG if: ... one post op Cardiology ... medical and surgical management
1,3-Beta-D-Glucan and Galactomannan Testing Sensitivity Specificity and False Positives
1,3-Beta-D-Glucan
 • Cell wall component of many fungi
Galactomannan Testing ... • Cell wall component ... formulations (eg ... 100d following HCT ... #Testing #FalsePositives
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
• Most common cause ... Putrid sputum/sour-tasting ... seen • Chest CT ... Prevotella • Fungal ... • Vasculitis (e.g
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... Treat underlying cause ... Treat underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm
Invasive Aspergillus (IA) - Diagnosis and Management
Aspergillus is ubiquitous in nature. Most invasive infections are caused
Diagnosis and Management ... infections are caused ... immunosuppression (eg ... Diagnosis and Testing ... #treatment #fungal