16 results
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
therapy - Number one cause ... Eg: C. burnetii ... Fungal (Histoplasma/Aspergillus ... Mycobacterial etc ... BloodCultures #Diagnosis #Management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
w/ septic pulmonary ... for metastatic infection ... • Aggressive management ... #checklist #criticalcare ... #diagnosis #management
Invasive Aspergillus (IA) - Diagnosis and Management
Aspergillus is ubiquitous in nature. Most invasive infections are caused
Diagnosis and Management ... infections are caused ... immunosuppression (eg ... presentations: • Pulmonary ... Endophthalmitis, Endocarditis
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
Endocarditis (BCNIE ... but important causes ... whipplei, Fungi (Aspergillus ... antiphospholipid syndrome ... #Endocarditis #
Massive Hemoptysis - Diagnosis and Management
 • Definitions: 
   - Hemoptysis = bleeding from
respiratory tract (e.g ... has potential to cause ... • Workup • General ... #treatment #workup ... #pulmonary #criticalcare
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... leading to increased pulmonary ... consistent with pulmonary ... there is no clear cause ... #CriticalCare
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Tropheryma Whipplei • Aspergillus ... Cerebral > Splenic, pulmonary ... Septic Emboli Cause ... ↑ ESR, CRP • EKG ... #diagnosis #management
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... confirm DAH, r/o infection ... recent DAN) • EMG ... Goodpasture's cause ... differential #diagnosis #management
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Propofol infusion syndrome ... dissociative drug, it causes ... SE: prolonged QTC ... Delirium #PAD #ICU #CriticalCare ... #diagnosis #management
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
- Infectious workup ... if symptoms of infection ... subjective dyspnea, etc ... MyastheniaGravis #Checklist #Management ... #CriticalCare