11 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... • Persistent fever ... block (+/- daily EKG ... of infection (e.g ... #diagnosis #management
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Ascites - Diagnostic ... than one cause (e.g ... carcinomatosis, HF, etc ... auscultatory percussion, abdominal ... smear/culture/ADA
Abdominal Compartment Syndrome & Intrabdominal Pressure Measurement
APP (Abdominal Perfusion Pressure) = MAP (Mean Arterial Pressure) -
long standing ascites ... correct placement (e.g ... POCUS) and function ... urinary catheter (e.g ... #Instructions #diagnosis
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... if other signs (fever ... , abdominal pain ... , etc). ... Otherwise repeat tap
CAPD-associated peritonitis (Continuous Ambulatory Peritoneal Dialysis) - 5 Things To Know
Diagnosis (Two of the following):
(1) Clinical
Things To Know Diagnosis ... following): (1) Clinical ... of peritonitis (abdominal ... culture Note that fever ... proæss (e.g. diverticulitis
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
care center for diagnostic ... weeks ago, no fevers ... #POCUS #SBP #clinical ... #ultrasound #abdominal ... #abscess
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... Change in clinical ... and undergoing AAA ... or upper abdominal
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
days and presents fever ... Intense abdominal ... accumulation (ascites ... attending physician (e.g ... classification #diagnosis
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
hyponatremia, AKI, etc ... will also get an EKG ... bedside echo is never ... Pearls #Checklist #diagnosis ... #workup #criticalcare
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
criteria for the diagnosis ... dominant pacemaker focus ... in other atrial sites ... Wandering #Pacemaker #wap ... #ekg #ecg #electrocardiogram