13 results
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... dental procedure • Cardiac ... loss • Myalgias Cardiac ... : • New cardiac ... #diagnosis #management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Abnormal ECG, echocardiogram ... shock, sudden cardiac ... death Management ... Myocarditis #Diagnosis #Management
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... involvement • Cardiac ... clinical concern for endocarditis ... IDSA #Guidelines #Management
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
nose deformity • Cardiac ... (UPC) ratio • Cardiac ... o infection • Echocardiogram ... differential #diagnosis #management
24 yo M sent from clinic to ED for + blood cultures. POCUS shows aortic valve
Clinical #POCUS #Echocardiogram ... #Cardiac #PLAX ... Aorta #Vegetation #Endocarditis
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
bleeding - EUS-FNA ... Vascular grafts/cardiac ... antibiotics to prevent endocarditis ... and high risk cardiac ... Gastroenterology #Management
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
stent, EUS without FNA ... lumbar puncture, Cardiac ... thresholds #targets #management
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
of the resting cardiac ... algorithm #cardiology #echocardiogram ... #management #clinical
Hemopericardium and Cardiac Tamponade on POCUS Echocardiogram

Next best step for this 25yo male (SBP 70)?
Resolution: pericardiocentesis
Hemopericardium and Cardiac ... Tamponade on POCUS Echocardiogram ... to definitive managemt ... Hemopericardium #Cardiac ... Effusion #POCUS #Echocardiogram
Marantic Endocarditis 

Epidemiology:
 - Incidence of non-bacterial thrombotic endocarditis (marantic endocarditis if associated with cancer) is
Marantic Endocarditis ... non-bacterial thrombotic endocarditis ... (marantic endocarditis ... revealed 19% had cardiac ... #Diagnosis #Management