52 results
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Hypercoagulable (APLAS) Microbiology ... • Coagulase-negative ... Cerebral > Splenic, pulmonary ... Endocarditis #diagnosis #management ... #cardiology
Acute Coronary Syndrome - Management Algorithm
 • STEMI
 • NSTEMI (Troponin Positive) / Unstable Angina (UA,
Coronary Syndrome - Management ... (UA, Troponin Negative ... ) Management: ... Syndrome #ACS #Management ... #Algorithm #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Noncardiogenic Pulmonary ... • Normal or negative ... pg/ml EKG: • Negative ... infarction • Gram negative ... differential #diagnosis #cardiology
Causes of blood culture negative infective endocarditis

Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
blood culture negative ... causes #culture #negative ... InfectiousDiseases #Microbiology ... #CNIE #BCNIE #cardiology
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Hypoxia • Pulmonary ... hypertension Management ... Tachycardia #MAT #Cardiology ... Diagnosis #ECG #EKG #Management
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
Streptocccus Pneumoniae Microbiology ... Alpha-hemolytic, Catalase Negative ... Pneumoniae #strep #microbiology ... #diagnosis #management
Algorithm for Treatment of Chronic Thromboembolic Disease (CTEPH)
Initial Imaging for Screening - V/Q scan - 90-100%
• Assess for Pulmonary ... Operability → Pulmonary ... karanpdesai #cteph #management ... #algorithm #cardiology ... #pulmonary #treatment
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup and Management ... Patients First Tier Microbiologic-Testing ... pathogens First Tier Microbiologic-Testing ... above testing negative ... Diarrhea #Workup #Management
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
failure • Severe pulmonary ... Leptospirosis #Leptospira #microbiology ... diagnosis #treatment #management
Psittacosis 
Pathogen: Chlamydia psittaci - obligate intracellular gram negative
Transmission:
 • Birds are the primary reservoir
 •
intracellular gram negative ... Chlamydia #psittaci #microbiology ... #diagnosis #management