13 results
Endocarditis Algorithm - Infective vs Noninfective Causes
Noninfective:
 • Malignancy
 • Autoimmune disease
 • Systemic infection
Native Valve
Endocarditis Algorithm ... vs Noninfective Causes ... amzn.to/2LmUODZ #Endocarditis ... #Algorithm #Infective ... #Noninfective #Causes
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... Differential #Diagnosis #Algorithm ... #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... Insufficiency - ... Differential Diagnosis Algorithm ... SCVMCMed #Adrenal #Insufficiency ... #Causes #endocrinology
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue ... Differential Diagnosis Algorithm ... • Adrenal Insufficiency ... Infectious • Endocarditis ... #causes
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 #Algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... unclear (often the case ... #Diagnosis #Algorithm ... Stimulation #Test #Endocrinology
Rapidly Progressive Glomerulonephritis (RPGN)
RPGN has three primary pathophysiologic causes differentiated by immunofluorescence

Immune Complex Mediated (granular staining):
pathophysiologic causes ... Cryoglobulinemia, Endocarditis ... Pauci-immune mediated (Negative ... differential #diagnosis #algorithm
Hypoglycemia - Differential Diagnosis Algorithm
Fasting Hypoglycemia:
 • Excess Insulin
 • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Differential Diagnosis Algorithm ... Idiopathic Other Causes ... Hypopituitarism • Adrenal Insufficiency ... #endocrinology ... #causes
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
positive in 90% of IE cases ... • Coagulase-negative ... murmur • Valvular insufficiency ... Septic Emboli Cause ... Treat underlying cause
ECMO circuit chatter - rhythmic pulsations in the drainage catheter/tubing leading to the pump
CHATTER occurs when
when there is insufficient ... inflow to match the negative ... Untreated it can cause ... chatter #clinical #video