39 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... w/ septic pulmonary ... • Aggressive management ... #checklist #criticalcare ... #diagnosis #management
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue ... Infectious • Endocarditis ... Chronic Obstructive Pulmonary ... Disease Neurologic ... Chronic Fatigue Syndrome
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... leading to increased pulmonary ... there is no clear cause ... the underlying cause ... #CriticalCare
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
respiratory drive due to neurologic ... obesity-hypoventilation syndrome ... lung diseases, pulmonary ... , pulmonary AVMs ... hepatopulmonary syndrome
Priapism 

Secondary Causes:
Medications- intracavernosal injections, anticoagulants, PDE5 inhibitors, alpha blockers, methylphenidate, cocaine
Any hyperviscosity syndrome (SCD, leukemia,
Secondary Causes ... hyperviscosity syndrome ... leukemia, myeloma, etc ... Priapism #Diagnosis #Management ... #Urology #Differential
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
with Infective Endocarditis ... therapy - Number one cause ... Eg: C. burnetii ... Mycobacterial etc ... BloodCultures #Diagnosis #Management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... • Serotonin syndrome ... Phaeochromocytoma Neurologic ... #Differential #Causes ... Checklist #Diagnosis #Management
Massive Hemoptysis - Diagnosis and Management
 • Definitions: 
   - Hemoptysis = bleeding from
Diagnosis and Management ... respiratory tract (e.g ... has potential to cause ... treatment #workup #pulmonary ... #criticalcare
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Subacute bacterial endocarditis ... Wilson's disease Pulmonary ... - SLE Neurologic ... disease, Vasculitis (e.g ... fever - Bacterial endocarditis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Septic Emboli Cause ... ↑ ESR, CRP • EKG ... Treat underlying cause ... #diagnosis #management