27 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... block (+/- daily EKG ... • Aggressive management ... #checklist #criticalcare ... #diagnosis #management
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
at the J point (negative ... This EKG was recorded ... #EKG #EmergencyMedicine ... #Cardiology #diagnosis ... #CriticalCare #
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
with Infective Endocarditis ... (IE) Has Negative ... Eg: C. burnetii ... #Infective #Endocarditis ... #Diagnosis #Management
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
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 ... #diagnosis #causes ... #CNIE #BCNIE #cardiology
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 ... #diagnosis #management ... #cardiology
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
Bradycardia - Differential ... Diagnosis Framework ... #Bradycardia #Differential ... #Diagnosis #Management ... #cardiology #criticalcare
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Administer sedative ... #bradycardia #diagnosis ... #differential # ... management #cardiology
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
>1 of V1-V3 + negative ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Pulmonary Edema - Differential ... Diagnosis Framework ... level <100 pg/ml EKG ... #edema #NCPE #differential ... #diagnosis #cardiology