30 results
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Heart Disease Pulmonary ... • Rupture • Endocarditis ... cardiomyopathy • Pulmonary ... Systolic #Murmurs #Cardiology ... Diagnosis #Algorithm #causes
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... suspect right-sided endocarditis ... w/ septic pulmonary ... Persistent fever, positive ... #checklist #criticalcare
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
Microbiology: Gram Positive ... • Most common cause ... media • Important cause ... peritonitis, and endocarditis ... Specificity of 97%) Treatment
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 ... Septic Emboli Cause ... Treat underlying cause ... diagnosis #management #cardiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
standing erect, the pulmonary ... The pulmonary vascular ... non-perfused vessels and causes ... In the supine position ... #Clinical #Radiology
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
disorders - Chronic pulmonary ... significantly positive ... • Infective Endocarditis ... Infarction • Pulmonary ... #cardiology
Invasive Aspergillus (IA) - Diagnosis and Management
Aspergillus is ubiquitous in nature. Most invasive infections are caused
infections are caused ... presentations: • Pulmonary ... Endophthalmitis, Endocarditis ... AspGM can be also positive ... this morphology Treatment
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... Treat underlying cause ... Treat underlying cause ... #management #cardiology
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Recruitment and Titrated Positive ... increased 28-day all-cause ... Postoperative #Pulmonary ... #CriticalCare
Massive Hemoptysis - Diagnosis and Management
 • Definitions: 
   - Hemoptysis = bleeding from
has potential to cause ... Diagnosis #Management #treatment ... #workup #pulmonary ... #criticalcare