18 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... w/ septic pulmonary ... • Persistent fever ... • Aggressive management ... criticalcare #diagnosis #management
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Clinical triad: Fever ... splenomegaly • Hepatic ... hepatitis • Pulmonary ... Disease #diagnosis #management ... #treatment #rheumatology
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
• Cellulitis: Fever ... 13%), Pneumonia, Endocarditis ... Treatment: • 50% ... infectiousdiseases #diagnosis #management ... #treatment
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... and/or digoxin level ... (no B-lines on ultrasound ... Revascularization, treatment ... #Management
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
• Persistent fever ... metastatic infection (endocarditis ... osteomyelitis, septic ... • Persistent fever ... Hernodynamically stable after treatment
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Increased protein level ... normal glucose level ... • Septic shock ... arthritis, and endocarditis ... Fungal #Diagnosis #Management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Cerebral > Splenic, pulmonary ... Glomerulonephritis Septic ... #diagnosis #management ... #cardiology
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
• No Treatment ... Brady Management ... Block infranodal level ... Diagnosis #EKG #electrocardiogram ... #ecg #cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Setup - Ultrasound ... Tamponade - Pulmonary ... Shock - Septic ... #criticalcare #treatment
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
Lung cancer • Septic ... Active TB: • Fever ... Tuberculosis Treatment ... TB #Diagnosis #Management ... #Treatment #ActiveTB