109 results
Endocarditis Algorithm - Infective vs Noninfective Causes
Noninfective:
 • Malignancy
 • Autoimmune disease
 • Systemic infection
Native Valve
Endocarditis Algorithm ... HACEK • Culture-negative ... amzn.to/2LmUODZ #Endocarditis ... #Algorithm #Infective ... #Differential #Diagnosis
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
with Infective Endocarditis ... Eg: C. burnetii ... #Infective #Endocarditis ... #Diagnosis #Management ... #Algorithm
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Atrial Flutter on EKG ... up, slow down; "negative ... • V1: Broad & negative ... cardiology #clinical #diagnosis ... #comparison
Vereckie Algorithm - Lead aVR - Ventricular Tachycardia - Telemetry Diagnosis
WCT is VT IF:
 • Initial
Vereckie Algorithm ... Tachycardia - Telemetry Diagnosis ... downstroke of negative ... #Vereckie #Algorithm ... #cardiology #ekg
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Hypoxia • Pulmonary ... • Oxygen • Treatment ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Characteristics of Selected Pneumonias

Streptococcus pneumoniae (pneumococcus). Gram-positive diplococci. 
Haemophilus influenzae. Pleomorphic gram-negative coccobacilli. 
Staphylococcus aureus. Plump
Plump gram-negative ... Gram-negative rods ... Pneumonia #Patterns #Diagnosis ... #Comparison #Table ... #Presentation #Pulmonary
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
- Differential Diagnosis ... Algorithm Benign ... Heart Disease Pulmonary ... #Differential #Diagnosis ... #Algorithm #causes
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... suspect right-sided endocarditis ... w/ septic pulmonary ... block (+/- daily EKG ... #criticalcare #diagnosis
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
specific to NBTE, and diagnosis ... is required for diagnosis ... serology: Serial negative ... Frequent false-negative ... #comparison #infective
Rapidly Progressive Glomerulonephritis (RPGN)
RPGN has three primary pathophysiologic causes differentiated by immunofluorescence

Immune Complex Mediated (granular staining):
Cryoglobulinemia, Endocarditis ... With associated pulmonary ... Pauci-immune mediated (Negative ... #differential #diagnosis ... #algorithm #rheumatology