55 results
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
with Infective Endocarditis ... (IE) Has Negative ... therapy - Number one cause ... #Infective #Endocarditis ... #Diagnosis #Management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... , inflammatory lung ... permeability, lung ... with decreased lung ... RespiratoryDistress #Syndrome
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
ECGs - Syncope Syndromes ... QT via long ST ... >1 of V1-V3 + negative ... mchlwng #Syncope #Syndromes ... #ECG #EKG #Checklist
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
Alpha-hemolytic, Catalase Negative ... • Most common cause ... media • Important cause ... peritonitis, and endocarditis ... microbiology #diagnosis #management
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
• Typhus, gram-negative ... Non-Infectious Causes ... disease • Behcet's syndrome ... • Hyper-IgD syndrome ... Brucellosis • Liver or lung
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
Infective Endocarditis ... e.g. fractured long ... Marfan's Syndrome ... , Infective Endocarditis ... #Orthopedics #Causes
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... • Coagulase-negative ... Septic Emboli Cause ... Treat underlying cause ... #diagnosis #management
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
and Associated Lung ... Ultrasound Findings ... pleura in severe cases ... Respiratory Distress Syndrome ... #POCUS #ultrasound
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... • Serotonin syndrome ... #Differential #Causes ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
• Initial Management ... • Syndrome caused ... globules in the lung ... Syndrome usually ... gram positive and negative