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cardiology management differential infectiousdiseases acidosis aspergillus causes checklist criticalcare elevation erythematosus fungal ia injury invasive lactate lactic lupus myocardial nstemi
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Culture (+): Acute ... Cerebral > Splenic, pulmonary ... Differential Diagnosis ... Diagnosis? ... ↑ ESR, CRP • EKG
Myocardial Injury Classification Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD Acute nonischemic myocardial injury: - Primary
Myocardial Injury Classification ... non-cardiac illness: Critical ... illness, Sepsis, Pulmonary ... embolism Acute ... #diagnosis #cardiology
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... w/ septic pulmonary ... with multiple embolic ... Internet Book of Critical ... #criticalcare #diagnosis
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential Diagnosis ... Culture Positive: • Acute ... Cerebral > Splenic, Pulmonary ... ↑ ESR, CRP • EKG ... #Differential #Diagnosis
Invasive Aspergillus (IA) - Diagnosis and Management Aspergillus is ubiquitous in nature. Most invasive infections are caused
immunosuppression (eg ... HIV/AIDS, CGD) Clinical ... presentations: • Pulmonary ... Endophthalmitis, Endocarditis ... septated hyphae, acute
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... cardiac output - Acute ... pulmonary edema ... peritonitis - Acute ... #typea #typeb #classification
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
) Suspect: Clinical ... Skin Disease Classification ... : • Acute cutaneous ... Differential Diagnosis ... • Libman-Sacks endocarditis
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