47 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Atrial Flutter on EKG ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... is required for diagnosis ... : Serial negative ... : + (Negative blood ... #comparison #infective
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... Pulmonary embolism ... Echocardiogram #A4c #clinical
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... Triage EKG (no prior ... Differential/diagnosis ... See thread for POCUS ... #Embolism #ECG
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
most common) Clinical ... , hemoptysis Treatment ... • Carbapenem (e.g ... Lung #Abscess #Diagnosis ... #Pulmonary #Clinical
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
- Differential Diagnosis ... Infectious • Endocarditis ... Chronic Obstructive Pulmonary ... Disease Neurologic ... • Drug Abuse (e.g
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Echinocandins (e.g ... Susceptibilities, Negative ... or TEE unless clinical ... concern for endocarditis ... #candidiasis #treatment
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
Infective Endocarditis ... antimicrobials, clinical ... BCNIE Diagnostic ... factors: - Serology ... special stains (e.g
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Coagulase-negative ... Cerebral > Splenic, pulmonary ... Differential Diagnosis ... Diagnosis? ... ↑ ESR, CRP • EKG