14 results
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
from Infective Endocarditis ... serology: Serial negative ... Frequent false-negative ... cultures/serology: + (Negative ... Marantic #diagnosis #table
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... Hemodynamics (Stable ... @nickmmark #Pulmonary ... #Embolism #Risk ... stratification #criticalcare
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... • Coagulase-negative ... Cerebral > Splenic, pulmonary ... Endocarditis ... #Endocarditis
Complications of Staph Aureus Bacteremia
 • CNS Infections
 • Septic pulmonary embolism (0.9% - 18.8%)
 •
Infections • Septic pulmonary ... embolism (0.9% ... ) • Infective endocarditis ... - Native valve ... arthritis - Native
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... w/ septic pulmonary ... spleen, brain) Indications ... with multiple embolic ... #checklist #criticalcare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
flow) - Massive pulmonary ... embolism - Pericardial ... Classification #Table ... #CriticalCare
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... - Indications ... @nickmmark #Pulmonary ... #Embolism #Treatment ... AcutePE #Management #CriticalCare
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Primary Vascular: Pulmonary ... Embolism, Vasculitis ... Management: 1) Indications ... Diagnosis #Management #pulmonary ... #criticalcare
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Failure, Toxins/Medications ... , CVP > 12 • Pulmonary ... Embolism, Tension ... Diagnosis #Types #criticalcare
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Endocarditis - Overview ... aureus, Coagulase-negative ... staphylococci Culture Negative ... Cerebral > Splenic, Pulmonary ... #Endocarditis