7 results
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
- Differential ... (Ischemia) - ... Infective Endocarditis ... Vascular #JointPain #MSK ... #Differential #
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
from CHF, Chest Pain ... Ischemia? ... Administer sedative & pain ... bradycardia #diagnosis #differential ... #management #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Early embolic/ischemic ... ↑ ESR, CRP • EKG ... #diagnosis #management ... #cardiology
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
polychondritis, GPA • Ischemic ... Subacute bacterial endocarditis ... Wilson's disease Pulmonary ... fever - Bacterial endocarditis ... #differential #
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
segment at (or 40-60 ms ... accompanied by chest pain ... deviation) • Acute ischemia ... #differential # ... cardiology #electrocardiogram
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... Cerebral > Splenic, Pulmonary ... Early embolic/ischemic ... ↑ ESR, CRP • EKG ... Diagnosis #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... medical and surgical management