10 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... w/ septic pulmonary ... block (+/- daily EKG ... #checklist #criticalcare ... #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... Cerebral > Splenic, pulmonary ... ↑ ESR, CRP • EKG ... block, annular or aortic ... #cardiology
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
disorders: - Aortic ... regurgitation - Aortic ... conditions) • Severe ... • Infective Endocarditis ... Pathophysiology #causes #cardiology
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
emergency (1) Severe ... hypertension (e.g ... - Pulmonary edema ... presence of increased optic ... #Algorithm #CriticalCare
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Subacute bacterial endocarditis ... Wilson's disease Pulmonary ... • Bloody or severe ... Rheumatic fever • Aortic ... #differential #diagnosis
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Ovarian CA, involves aortic ... Cerebral > Splenic, Pulmonary ... ↑ ESR, CRP • EKG ... block, annular or aortic ... #cardiology #infectiousdiseases
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... Severe Aortic stenosis ... stratification #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... ECG is vital while ... algorithm #management #cardiology ... heartfailure #chf #criticalcare ... icu #clinical #pharmacology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... ., aortic insufficiency ... aortic regurgitation ... Pheochromocytoma • Pulmonary ... #Palpitations #Cardiology
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
Severe Influenza ... Checklist Diagnostic ... - CT scan if diagnostic ... lab-confirmed influenza, pulmonary ... #Management #CriticalCare