24 results
Infective Endocarditis - Indications for Surgery - "Fun-HEARTS" Mnemonic

Fungal endocarditis
Heart failure (valve dysfunction)
Enterococcus (VRE) endocarditis
Abscess, annular
Infective Endocarditis ... Mnemonic Fungal endocarditis ... Abscess, annular ... cardiothoracic #cardiology ... #infectiousdiseases
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
• Myocardial abscess ... • Persistent fever ... • Aggressive management ... arthritis, splenic abscess ... criticalcare #diagnosis #management
Ruptured Chordae Tendineae on POCUS Echocardiogram
 
Many underlying causes, not limited to: MVP, subacute endocarditis, connective
MVP, subacute endocarditis ... Assess for MR when ... - Arizona Ultrasound ... Echocardiogram #Ultrasound ... #Clinical #Cardiology
Unexpected source of fever: Liver abscess on point-of-care ultrasound

- Dr. Dan Kim https://twitter.com/dan___kim/status/1016714544352116736

#Liver #Abscess #Hepatic #Clinical
: Liver abscess ... point-of-care ultrasound ... #Abscess #Hepatic ... Clinical #POCUS #Ultrasound ... #Radiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... annular or aortic abscess ... Complications: Abscess ... #diagnosis #management ... #cardiology
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
Spinal Epidural Abscess ... : IVDU, dental abscess ... , HD catheter, endocarditis ... but rare triad: Fever ... #diagnosis #management
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
• Persistent fever ... metastatic infection (endocarditis ... , epidural abscess ... • Persistent fever ... limited vascular access
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
• Aortic Valve Endocarditis ... + Abscess • Sick ... Acute rheumatic fever ... • Yellow fever ... diagnosis #causes #cardiology
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... within one week to assess ... clinical concern for endocarditis ... Consider: Spine, CNS, liver ... IDSA #Guidelines #Management
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Endocarditis - Overview ... night sweats, fever ... #Endocarditis ... Differential #Diagnosis #cardiology ... #infectiousdiseases