10 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TTE +/- TEE) • Chest ... CT scan, if suspect ... w/ septic pulmonary ... Persistent fever, positive ... Internet Book of Critical
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
and Management ... Lung Abscess - Clinical ... CT Lung Abscess ... Management: • ... #Abscess #pulmonary
Pulmonary Nodule
Evaluation is guided by nodule size & assessment of probability of malignancy. In addition is
diameter are called lung ... associated with lung ... malignancy, clinical ... The treatment of ... Management options
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Blood cultures are positive ... Cerebral > Splenic, pulmonary ... nodes • Roth’s spots ... #diagnosis #management
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
Oleothorax - A chest ... for pulmonary tuberculosis ... #Clinical #PCC # ... Radiology #CXR # ... Oleothorax #NEJM
Myasthenia Gravis - Summary
 • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
Diagnosis: • Based on clinical ... antibodies - MuSK-positive ... should undergo chest ... CT to screen for ... Gravis #diagnosis #management
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
, verrucous) - Lung ... cases Culture Positive ... Cerebral > Splenic, Pulmonary ... nodes • Roth’s spots ... hematuria, + RF Treatment
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
tomography of the chest ... revealed multiple pulmonary ... Biopsy of the lung ... #NEJM #clinical ... #radiology #CT #
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 ... This patient’s clinical ... Due to their short ... #Radiology #CTChest ... #Lung #Pulmonary