20 results
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
with Infective Endocarditis ... Did they receive antibiotics ... Decreased yield due to antibiotic ... Eg: C. burnetii ... #Infective #Endocarditis
Tachycardia - Wide vs Narrow Complex, Regular vs Irregular rhythm table

#Diagnosis #Cardiology #EKG #ECG #WideComplex #Narrow
#Diagnosis #Cardiology ... #EKG #ECG #WideComplex ... Irregular #Table #Comparison ... #Differential
Infective endocarditis - etiology and sources of infection. 
 • Native and prosthetic 
valve endocarditis
 •
Infective endocarditis ... • Native and ... prosthetic valve endocarditis ... for TPN) and antibiotic ... Bacteria #Etiology #Differential
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
up, slow down; "negative ... • V1: Broad & negative ... Flutter #aflutter #ecg ... #cardiology #clinical ... #diagnosis #comparison
Causes of blood culture negative infective endocarditis

Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
blood culture negative ... infective endocarditis ... BCNIE #Causes #differential ... #Endocarditis # ... #CNIE #BCNIE #cardiology
Relative Risk of Various Predisoosing Conditions for Infective Endocarditis 
High Risk:
 - Prosthetic valves 
 -
Relative Risk of ... for Infective Endocarditis ... #Infective #Endocarditis ... #RiskFactors #Cardiology ... #Diagnosis #Differential
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
entirely positive or negative ... positive in aVR and negative ... VT #VTach #SVT #Comparison ... VentricularTachycardia #Versus #ecg ... #ekg #cardiology
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... >1 of V1-V3 + negative ... Syncope #Syndromes #ECG ... #diagnosis #cardiology ... electrocardiogram #differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Coagulase-negative ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... • IV Antibiotics ... diagnosis #management #cardiology
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Guidelines 1) Antibiotics ... Echinocandins (e.g ... Susceptibilities, Negative ... clinical concern for endocarditis