7 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
for metastatic infection ... • Persistent fever ... • Aggressive management ... metastatic foci of infection ... Internet Book of Critical
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Glomerulonephritis Septic ... Persistent bacteremia/fevers ... #diagnosis #management ... #cardiology
Mycoses

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

A patient presents with fever to 102F and pain over her olecranon
presents with fever ... An ultrasound over ... best choice for management ... #POCUS #Elbow #clinical ... #ultrasound #MSK
Osteomyelitis / Septic Arthritis on POCUS

A diabetic adult presents with pain and fever at this site.
Osteomyelitis / Septic ... with pain and fever ... #Arthritis #clinical ... #POCUS #ultrasound ... #msk #radiology
Pocket Hematoma after Pacemaker Placement
A rare, but can't-miss complication from pacemaker placement. Low incidence (1-9%) overall,
Heparin increases ... NEVER attempt to ... systemic signs (fever ... Pocket #Hematoma #clinical ... #Pacemaker #photo
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... or family - Ever ... Skin exam for infection ... Change in clinical ... medical and surgical management