35 results
Causes of Nail Clubbing - Mnemonic 
Cyanotic Heart Disease, Cystic Fibrosis
Lung Cancer, Lung abscess 
Ulcerative Colitis
Causes of Nail Clubbing ... Mesothelioma Infective Endocarditis ... , Idiopathic Pulmonary ... #Differential #Causes
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Heart Disease Pulmonary ... • Rupture • Endocarditis ... cardiomyopathy • Pulmonary ... • Prolapse • Endocarditis ... Diagnosis #Algorithm #causes
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue ... Infectious • Endocarditis ... Chronic Obstructive Pulmonary ... Myasthenia Gravis Pharmacologic ... Diagnosis #Algorithm #causes
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... suspect right-sided endocarditis ... w/ septic pulmonary ... Critical Care #Endocarditis ... #checklist #criticalcare
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
) Examination: Pulmonary ... the underlying cause ... Dyspnea #Management #criticalcare ... #pulmonary #Hypoxia
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... class (30-day all cause ... @nickmmark #Pulmonary ... stratification #criticalcare
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... positive in 90% of IE cases ... Cerebral > Splenic, pulmonary ... Septic Emboli Cause ... Treat underlying cause
ANTIBIOTIC SUSCEPTIBILITIES IN INTENSIVE CARE

Antibiotic spectra made simple(r). Version 2, now updated with new bugs &
#Antibiotics #Classes ... Susceptibilities #ICU #CriticalCare ... #Overview #Pharmacology
Rapidly Progressive Glomerulonephritis (RPGN)
RPGN has three primary pathophysiologic causes differentiated by immunofluorescence

Immune Complex Mediated (granular staining):
pathophysiologic causes ... Cryoglobulinemia, Endocarditis ... With associated pulmonary
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... consistent with pulmonary ... there is no clear cause ... the underlying cause ... Diagnosis #Management #CriticalCare