10 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Initial evaluation ... TTE +/- TEE) • Chest ... w/ septic pulmonary ... Consider repeat echo ... #criticalcare #diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... cultures • 2D Echo ... #diagnosis #management
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... and Management ... polymicrobial infection ... Lung Abscess - Clinical ... #Abscess #pulmonary
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the surrounding lung ... without associated pulmonary ... #Clinical #Diagnosis ... #Radiology #CTChest ... Cyst #Emphysema #Comparison
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Myasthenia Gravis Evaluation ... and lung ultrasound ... Phos), CBC with differential ... Pyridostigmine - New diagnosis ... MyastheniaGravis #Checklist #Management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Skin exam for infection ... Change in clinical ... unless prior heart/lung ... surgical management ... stratification #diagnosis
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... , verrucous) - Lung ... Cerebral > Splenic, Pulmonary ... cultures • 2D Echo ... Diagnosis #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
are excellent at evaluating ... with presence of pulmonary ... Impella, LVAD, ECMO ... #diagnosis #differential ... #algorithm #management
It can be difficult to distinguish these three entities.
There are two diagnostic hints for further differentiation:
-
There are two diagnostic ... and 'white' lung ... penicillamine) #Clinical ... #Radiology #CTChest ... #Attenuation #Comparison
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... change in the lungs ... endocarditis Local ... nails, bronchi, lungs ... #Management #Infections