11 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Initial evaluation ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia
1. aVR: Is the initial deflection in aVR positive?
Algorithm for the ... Evaluation of Regular ... Interpretation #ECG ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
with Infective Endocarditis ... Number one cause of culture ... Eg: C. burnetii ... BloodCultures #Diagnosis ... #Management #Algorithm
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... for alternate diagnoses ... gram stain and culture ... doppler, CTA • ECG ... #COPD #AECOPD #Algorithm
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
staphylococci Culture ... Differential Diagnosis ... Diagnosis? ... ↑ ESR, CRP • EKG ... #diagnosis #management
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
Infective Endocarditis ... BCNIE relies on evaluation ... BCNIE Diagnostic ... special stains (e.g ... #diagnosis #differential
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-Serial evaluation ... the patient's diagnosis ... (e.g. pneumonia ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... medical and surgical management ... stratification #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
simply a clinical diagnosis ... are excellent at evaluating ... ECG is vital while ... establishing a diagnosis ... #algorithm #management
Evaluation and Management of Hypokalemia

Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
Evaluation and Management ... electrocardiography (ECG ... important because management ... #Diagnosis #Hypokalemia ... #Evaluation #Algorithm