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Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Coagulase-negative ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... Endocarditis #diagnosis #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... have achieved negative ... #diagnosis #differential ... #algorithm #management
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Edema - Differential ... • Normal or negative ... pg/ml EKG: • Negative ... infarction • Gram negative ... #edema #NCPE #differential
Microorganisms Responsible for Infective Endocarditis

Native valves:
 - Streptococcus viridans 
 - Enterococci 
 - Other streptococci
epidermidis - Gram-negative ... ) - Culture negative ... Enterococci - Gram-negative ... streptococci - Culture negative ... Pathogens #Diagnosis #Differential
Endocarditis Algorithm - Infective vs Noninfective Causes
Noninfective:
 • Malignancy
 • Autoimmune disease
 • Systemic infection
Native Valve
Systemic infection Native ... HACEK • Culture-negative ... epidermidis • Gram-negative ... Enterococcus • Gram-negative ... Noninfective #Causes #Differential
Pulmonary Hypertension Algorithm - Matthew Watto, MD
#Diagnosis #Management #Pulmonary #Hypertension #PAH #Workup #Evaluation #Algorithm #Differential #Curbsiders
Pulmonary Hypertension ... MD #Diagnosis #Management ... #Pulmonary #Hypertension ... Evaluation #Algorithm #Differential
Characteristics of Selected Pneumonias

Streptococcus pneumoniae (pneumococcus). Gram-positive diplococci. 
Haemophilus influenzae. Pleomorphic gram-negative coccobacilli. 
Staphylococcus aureus. Plump
Pleomorphic gram-negative ... Plump gram-negative ... Gram-negative rods ... Gram-negative rods ... #Presentation #Pulmonary
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Presentation (Pulmonary ... symptomatology Differential ... polyangiitis) - ANCA-negative ... Renal #Syndrome #differential
Approach to Thrombotic Microangiopathy (TMA) - Differential Diagnosis and Management Algorithm

Suspected TMA: Unexplained thrombocytopenia + MAHA
Microangiopathy (TMA) - Differential ... Diagnosis and Management ... normal • DAT negative ... Microangiopathy #TMA #Differential ... #Diagnosis #Management
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Massive Hemoptysis - Differential ... over 24 hours Differential ... Primary Vascular: Pulmonary ... Massive #Hemoptysis #Differential ... #pulmonary #criticalcare