12 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... • Persistent fever ... • Aggressive management ... #checklist #criticalcare ... #diagnosis #management
Mitral Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.

Dr. Robert Jones @RJonesSonoEM

#MitralValve
Mitral Valve Endocarditis ... on POCUS Echocardiogram ... presents with fever ... #POCUS #Echocardiogram ... #clinical #cardiology
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
Hemodynamically stable ... • Persistent fever ... metastatic infection (endocarditis ... • Persistent fever ... Hernodynamically stable
Flutycosine - Antibiotics Class Overview
 - 
Mechanism: 5-FC interferes with DNA and protein synthesis.  Only
B for initial management ... candidal infections (endocarditis ... - Virtually never ... #Pharmacology #Antibiotics
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... night sweats, fever ... Persistent bacteremia/fevers ... #diagnosis #management ... #cardiology
Drugs Used for the Treatment of COVID-19 Infection

** Editor Note (from ophthalmology MD input) - Hydroxychloroquine/chloroquine
clinical trial Ever ... Treatment #COVID19 #Pharmacology ... #Table #Management
Aortic Valve Endocarditis on POCUS Echocardiogram (PLAX)
50 yo female presents with fever & flu-like symptoms.
Aortic Valve Endocarditis ... on POCUS Echocardiogram ... presents with fever ... #POCUS #Echocardiogram ... clinical #ultrasound #cardiology
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 ... #POCUS #Echocardiogram ... #clinical #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
differential #algorithm #management ... #cardiology #treatment ... #table #foamed ... heartfailure #chf #criticalcare ... icu #clinical #pharmacology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... metabolic equivalent able ... Stable patients ... one post op Cardiology ... medical and surgical management