11 results
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
in Cardiogenic shock ... taken for Primary PCI ... , first injection ... established, but died on table ... Angiogram #CathLab #clinical
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
on scores and clinical ... Hemodynamics (Stable ... Transient Hypotension, Shock ... prognostication #diagnosis ... stratification #criticalcare
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
Pulmonary fibrotic ... characteristic features Clinical ... Tuberculosis Diagnosis ... staining, NAA (PCR ... Tuberculosis #TB #Diagnosis
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Clostridioides Difficile Infection ... GrepMed Handbook Clinical ... Toxic Megacolon, Shock ... non-toxigenic • Stool PCR ... Ileus, Megacolon, Shock
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
Pulmonary fibrotic ... characteristic features Clinical ... Tuberculosis Diagnosis ... staining, NAA (PCR ... Tuberculosis #TB #Diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Skin exam for infection ... Change in clinical ... Recent PCI/stenting ... since elective PCI ... stratification #diagnosis
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
polymicrobial infection ... Lung Abscess - Clinical ... Clindamycin in case of PCN ... shows a small, stable ... Lung #Abscess #pulmonary
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
diagnosis but rather ... with presence of pulmonary ... essentially Cardiogenic Shock ... cardiology #treatment #table ... heartfailure #chf #criticalcare
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
The table below ... LBRF can be diagnosed ... antibodies or PCR ... Infectious Diseases ... microscopy #pathology #clinical
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
Influenza Checklist Diagnostic ... antigens - Nares PCR ... opportunistic infection ... lab-confirmed influenza, pulmonary ... Checklist #Management #CriticalCare