13 results
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
- Differential Diagnosis ... Algorithm Benign ... Heart Disease Pulmonary ... Dysfunction • Ischemia ... #Algorithm #causes
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
w/ septic pulmonary ... • Persistent fever ... • Aggressive management ... #checklist #criticalcare ... #diagnosis #management
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
- Differential Diagnosis ... Hyperkalemia Pulmonary ... • Myocardial ischemia ... • Aortic Valve Endocarditis ... Chagas disease • Acute
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
deficit, Limb ischemia ... Pulmonary Embolism ... friction rub, Fever ... Pneumothorax: - Hx: Acute ... #Management #Algorithm
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
patients who have acute ... , such as: - Acute ... - Myocardial ischemia ... - Pulmonary edema ... #Algorithm #CriticalCare
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Culture (+): Acute ... night sweats, fever ... Cerebral > Splenic, pulmonary ... Early embolic/ischemic ... #diagnosis #management
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
respiratory symptoms • Fever ... , with ensuing ischemia ... • Isolated fever ... arthritis, and endocarditis ... #Management #Infections
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Culture Positive: • Acute ... night sweats, fever ... Cerebral > Splenic, Pulmonary ... Early embolic/ischemic ... Persistent bacteremia/fevers
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
important to recognize Acute ... with presence of pulmonary ... Cardiac cath if acute ... #algorithm #management ... heartfailure #chf #criticalcare
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... history of: a) Ischemic ... event, follow ACC algorithm ... medical and surgical management ... stratification #diagnosis