53 results
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Heart Disease Pulmonary ... Stenosis Mitral ... Marfan's Disease Mitral ... Fever • Trauma Mitral ... cardiomyopathy • Pulmonary
Aortic and Mitral Valve Vegetations in Endocarditis on POCUS - PLAX

Why would this 30 y/o male
Aortic and Mitral ... Vegetations in Endocarditis ... on the aortic & mitral ... valves and pulmonary ... #Vegetations #Endocarditis
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
PNA, Abscess), Viral ... • Valvular (Mitral ... regurgitation, Tricuspid endocarditis ... Differential #Diagnosis #pulmonary
Causes of Hemoptysis - Differential Diagnosis Algorithm
Massive Hemoptysis (>I00 mL in 24 hours)
 • Malignancy
 •
Malformation Normal CXR ... Bronchiectasis • Pulmonary ... Bacterial • Viral ... Fungal Malignancy Pulmonary ... Vascular • Pulmonary
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Framework and Management ... Primary Vascular: Pulmonary ... Embolism, Vasculitis, Mitral ... Coagulopathy Initial Management ... #pulmonary #criticalcare
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... suspect right-sided endocarditis ... w/ septic pulmonary ... • Aggressive management ... criticalcare #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... Involves aortic and mitral ... Cerebral > Splenic, pulmonary ... #Endocarditis ... #diagnosis #management
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... ventilated • CXR ... complete respiratory viral ... AECOPD #Algorithm #Management ... Exacerbation #treatment #pulmonary
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
peritonitis, and endocarditis ... Physical Exam, CXR ... Meningitis 10-14 days, Endocarditis ... microbiology #diagnosis #management
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... • CD4 < 200: Pulmonary ... Evaluation: Imaging (CXR ... Blood and sputum cx ... ID_fellows #Pulmonary