32 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #diagnosis #management
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Atrial Flutter on EKG ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
axis swings from positive ... Originates from single focus ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG ... #EKG
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
(i.e. entirely positive ... VT #VTach #SVT #Comparison ... VentricularTachycardia #Versus #ecg ... #ekg #cardiology ... #diagnosis #electrocardiogram
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
septic shock (e.g ... resuscitation (e.g ... balance >3-4 liters positive ... choledolithiasis (e.g ... #Diagnosis #Management
Hypotension in Anesthesiology - Differential Diagnosis and Management 

Initial checklist: 
 - Verify BP (e.g. surgeon
- Differential Diagnosis ... and Management ... Initial checklist ... - Verify BP (e.g ... Head down position
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... Pads in AP position ... Connect ECG Leads ... #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Diagnosis #Management ... #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Diagnosis #Management ... #Workup
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Blood cultures are positive ... Diagnosis? ... ↑ ESR, CRP • EKG ... #diagnosis #management ... #cardiology