7 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... w/ septic pulmonary ... Persistent fever, positive ... • Aggressive management ... Internet Book of Critical
Pott's Disease in Tuberculosis - Diagnosis and Management Summary
Epidemiology:
 - Typically from TB endemic areas
 -
extrapulmonary cases Clinical ... Signs/Symptoms: ... years - May have signs ... symptoms of active pulmonary ... involvement - CT
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Blood cultures are positive ... Cerebral > Splenic, pulmonary ... nodes • Roth’s spots ... #diagnosis #management ... #cardiology
Falciform Ligament Sign - An abdominal radiograph that was obtained with the patient in a supine
patient in a supine position ... Panel B, arrow) #Clinical ... #Radiology #FalciformLigament ... Pneumoperitoneum #CT ... #KUB #NEJM
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... Signs of poor perfusion ... Signs of congestion ... with presence of pulmonary ... differential #algorithm #management
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... Inhalation of spores ... arthritis, and endocarditis ... infection have positive ... Fungal #Diagnosis #Management
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... Vital signs: BP ... This patient’s clinical ... Due to their short ... #Radiology #CTChest