21 results
Mitral valve endocarditis complicated by an abscess - Echocardiogram

Ivan Stankovic, MD, PhD @ https://twitter.com/Ivan_Echocardio

#MitralValve #Mitral #Valve
Mitral valve endocarditis ... complicated by an abscess ... #abscess #Echocardiogram ... #POCUS #Clinical ... #Cardiology #A2C
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... most common) Clinical ... , hemoptysis Treatment ... • Carbapenem (e.g ... #Diagnosis #Pulmonary
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... w/ septic pulmonary ... • Myocardial abscess ... arthritis, splenic abscess ... Internet Book of Critical
Algorithm for Treatment of Chronic Thromboembolic Disease (CTEPH)
Initial Imaging for Screening - V/Q scan - 90-100%
Algorithm for Treatment ... for CTEPH • Assess ... cteph #management #algorithm ... #cardiology #pulmonary ... #treatment
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... thread for POCUS Pulmonary ... Echocardiogram #A4c ... #clinical #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... ↑ ESR, CRP • EKG ... annular or aortic abscess ... Complications: Abscess ... diagnosis #management #cardiology
2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A
2017 ACC/AHA/HFSA ... American College of Cardiology ... Task Force on Clinical ... guideline #ACCAHA2017 #cardiology ... #treatment #algorithm
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Clinical ... hemorrhage • Treatment ... several months of treatment ... • Vasculitis (e.g ... #pulmonary #differential
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... #Tachycardia #Treatment ... #management #cardiology ... #algorithm
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... doppler, CTA • ECG ... of AECOPD: • Clinical ... #Exacerbation #treatment ... #pulmonary