342 results
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
demonstrated by culture ... Definite IE - Clinical ... positive blood culture ... involvement - Echocardiogram ... #Endocarditis #diagnosis
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Peripheral blood cultures ... • Additional culture ... endocarditis w/ septic pulmonary ... Internet Book of Critical ... #criticalcare #diagnosis
Papillary Muscle Rupture on POCUS

See the "cracking whip"?  This is what papillary muscle rupture looks
Papillary Muscle Rupture ... papillary muscle rupture ... Papillary #Muscle #Rupture ... #Echocardiogram ... #POCUS #Clinical
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... on POCUS Echocardiogram ... Differential/diagnosis ... Embolism #POCUS #Echocardiogram ... #A4c #clinical
Invasive Candidiasis (IC)

Diagnosis:
Culture:
 • Gold standard, but Slow (~2-3 days), 50% sensitivity
 • Blood Sample
 •
Candidiasis (IC) Diagnosis ... : Culture: • ... Sterile-site biopsy Non-culture-based ... Diseases Consults • Echocardiogram ... IC #antifungal #diagnosis
Pulmonary Vein Stenosis on Echocardiogram - PLAX - Color Doppler
41 y/o w no PMHx

- Edinson Garcia.
Pulmonary Vein Stenosis ... on Echocardiogram ... PulmonaryVein #Stenosis #Echocardiogram ... Doppler #pocus #clinical
Tuberculosis Testing

LATENT TB
• LTBI is diagnosed when an asymptomatic patient has a positive TST or IGRA
result with no clinical ... Mycobacterial culture ... Liquid and solid cultures ... used to exclude pulmonary ... Mycobacterial culture
Pulmonary Embolism with IVC Thrombus In Transit

A patient presents with chest pain. Which of the following
Pulmonary Embolism ... most support her diagnosis ... Resolution: Pulmonary ... Thrombus #InTransit #clinical ... #ultrasound #echocardiogram
McConnell's Sign in Acute Pulmonary Embolism - POCUS

- Dr. Jay Mohan, D.O. RPVI https://twitter.com/DrJayMohan

#McConnells #Sign #PulmonaryEmbolism
Sign in Acute Pulmonary ... AcutePE #POCUS #Echocardiogram ... #Clinical #A4C
Bandemia Overview

Normal: < 1%
Clinically significant: > 10%

Band neutrophils are slightly less mature than segmented neutrophils and
Normal: < 1% Clinically ... Differential Diagnosis ... counts may delay diagnosis ... likelihood of negative clinical ... #differential #diagnosis