13 results
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
Microbiology: Gram Positive ... peritonitis, and endocarditis ... Physical Exam, CXR ... Meningitis 10-14 days, Endocarditis ... microbiology #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... Blood cultures are positive ... nodes • Roth’s spots ... #diagnosis #management ... #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
venous pressure, positive ... → no signs of CXR ... endomyocardial biopsy Pharmacology ... heartfailure #diagnosis #management ... #cardiology #pharmacology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... injury • ED Management ... Wrist #Carpal #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Endocarditis - Overview ... Blood cultures are positive ... cases Culture Positive ... nodes • Roth’s spots ... Differential #Diagnosis #cardiology
Here we have a patient with atelectasis of the right upper lobe as a result of
results in a high position ... arrow) #Clinical #Radiology ... #CXR #RUL #Collapse
The findings are:
 - Large density on the left with loss of cardiac silhouette.
 - High
- High position ... - Low position ... #Clinical #Radiology ... #CXR #Lateral # ... LUL #Lobar #Collapse
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... differential #algorithm #management ... #cardiology #treatment ... icu #clinical #pharmacology
Total atelectasis
The chest x-ray shows total atelectasis of the right lung due to mucus plugging.
Notice the
regained its normal position ... #Clinical #Radiology ... #CXR #Total #Lung ... #Collapse #RadiologyAssistant
Endocarditis - Diagnosis and Management Summary
What is it? Inflammation of endocardium, typically secondary to infection of
Endocarditis - Diagnosis ... and Management ... Osler nodes, Roth spots ... Major: +Blood Cx ... above, + Blood Cx