20 results
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
Eg: C. burnetii ... -> Serological Testing ... Fungal (Histoplasma ... BloodCultures #Diagnosis #Management ... #Algorithm
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... arrythmias Diagnostics: EKG ... SPECT ($$$), PET CT ... Cardiac #Stress #Testing ... #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
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 • Pathogens:
Polysaccharide cell wall component ... cut-offs defined in clinical ... formulations (e.g ... beta-glucans (e.g ... Frozen ice-pops (in setting
Pulmonary Nodule
Evaluation is guided by nodule size & assessment of probability of malignancy. In addition is
available diagnostic testing ... nodules (no solid component ... lung malignancy, clinical ... Management options ... Larger solid components
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 ... >90% (In most clinical ... 100d following HCT
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 ... Change in clinical ... one post op Cardiology ... medical and surgical management
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
Algorithm 1. ... current guidelines (eg ... perform exercise testing ... Enroll in HFpEF clinical ... #Algorithm #cardiology
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Clinical ... Putrid sputum/sour-tasting ... seen • Chest CT ... Prevotella • Fungal ... • Vasculitis (e.g
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
just simply a clinical ... range of possible clinical ... ECG is vital while ... #differential #algorithm ... #management #cardiology