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Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Hypercoagulable (APLAS) Microbiology ... Cerebral > Splenic, Pulmonary ... Cholesterol emboli syndrome ... hematuria, + RF Treatment ... Differential #Diagnosis #cardiology
Rhodococcus - Microbiology Overview

Microbiology:
 • Facultative, intracellular, nonmotile, non-spore-forming
 • Aerobic acid-fast gram-positive coccobacilli
 • Produces
Rhodococcus - Microbiology ... Overview Microbiology ... trauma Diagnosis Treatment ... #diagnosis #treatment ... #pulmonary #Bacteria
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... , hemoptysis Treatment ... Abscess #Diagnosis #Pulmonary
Algorithm for Treatment of Chronic Thromboembolic Disease (CTEPH)
Initial Imaging for Screening - V/Q scan - 90-100%
Algorithm for Treatment ... • Assess for Pulmonary ... Operability → Pulmonary ... management #algorithm #cardiology ... #pulmonary #treatment
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Hypoxia • Pulmonary ... • Oxygen • Treatment ... Tachycardia #MAT #Cardiology
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
ACUTE STEMI - PULMONARY ... BRUGADA SIGN (SYNDROME ... Differential #Diagnosis #Cardiology
Tetralogy of Fallot Summary
 • Anatomy
 • Incidence
 • Pathophysiology
 • Presentation
 • Common Variants
 •
Associated Genetic Syndromes ... diagnosis #management #cardiology ... peds #pediatrics #treatment
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 • Shed in the urine, feces, saliva of
Cardiopulmonary Syndrome ... • Autopsy PCR Treatment ... diagnosis #management #treatment ... #microbiology #
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
failure • Severe pulmonary ... Leptospirosis #Leptospira #microbiology ... #diagnosis #treatment
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
involving RV, Pulmonary ... rightventricular #cardiology ... #management #treatment