10 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... TTE +/- TEE) • Chest ... • Persistent fever ... #checklist #criticalcare ... #diagnosis #management
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
and Management ... : • 80% have fever ... decubitus - air fluid level ... Management: • ... Intervention: - Fevers
Based on the images alone, it is usually not possible to determine the cause of the
between these chest ... with cough and fever ... with low oxygen level ... nodular interstitial lung ... Clinical #Diagnosis #Radiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... night sweats, fever ... Persistent bacteremia/fevers ... #diagnosis #management ... #cardiology
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
SIow growing, Long ... • Cellulitis: Fever ... Meningitis (13%), Pneumonia ... , Endocarditis, ... infectiousdiseases #diagnosis #management
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
Tricuspid Valve Endocarditis ... on POCUS Echocardiogram ... presents with fever ... frequently have lung ... #clinical #cardiology
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Evaluation - Chest ... X-ray and lung ... (exclude other lung ... workup or TSH level ... #Management #CriticalCare
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
Amiodarone Induced Lung ... Direct cytotoxic lung ... Fever 4. ... Pleuritic chest ... Pulmonary #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... one post op Cardiology ... change CV risk Chest ... unless prior heart/lung ... medical and surgical management
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
respiratory symptoms • Fever ... infection • Cough, fever ... • Isolated fever ... arthritis, and endocarditis ... Fungal #Diagnosis #Management