11 results
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... - 80% have fever ... organ damage • Treatment ... unless worrisome EKG ... diagnosis #management #hematology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Presentation: - Fever ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... diagnosis #management #cardiology
Aortic Valve Endocarditis on POCUS Echocardiogram (PLAX)
50 yo female presents with fever & flu-like symptoms.
Aortic Valve Endocarditis ... presents with fever ... Blood Cx grew staph ... PLAX #clinical #ultrasound ... #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... night sweats, fever ... ↑ ESR, CRP • EKG ... Persistent bacteremia/fevers ... diagnosis #management #cardiology
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
Tricuspid Valve Endocarditis ... presents with fever ... emboli (see CT cor ... TricuspidValve #TV #Endocarditis ... Echocardiogram #clinical #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Troponin, Lactate, Liver ... and/or digoxin level ... (no B-lines on ultrasound ... Revascularization, treatment ... #HeartFailure #Cardiology
Imaging Modalities for Renal Calculus

AXR. KUB
 - Good far calcium-containing stones useful when limited radiation dose
Renal Calculus AXR ... is desirable, e.g ... radiation dose Ultrasound ... diverticulae). degree and level ... stones #calculus #Radiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
night sweats, fever ... ↑ ESR, CRP • EKG ... hematuria, + RF Treatment ... Persistent bacteremia/fevers ... Differential #Diagnosis #cardiology
Acute Recurrent Pericarditis
= recurrence of Acute Pericarditis (AP) after free interval >4-6 weeks without symptoms, >1/4
RED FLAGS: Fever ... manifestations, TREATMENT ... diagnosis #management #treatment ... #rheumatology # ... cardiology
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
Neutropenic fever ... : - Fever + ANC ... interventional radiology ... or HSCT - CRS: fever ... therapy - Symptoms: fever