25 results
Not sure what suture to use? PBL Infographic by @MClarkMD2B During EMClerkship - J. Scott Wieters
Not sure what suture ... Michael Clark #Management ... #Sutures #Materials ... #Selection #Guide ... #Student #Algorithm
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
), Spontaneous rupture ... infarction, Tendineae rupture ... Papillary muscle rupture ... Regurgitation #differential ... #diagnosis #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
• Additional culture ... heart failure • Myocardial ... Obtain single blood culture ... • Aggressive management ... criticalcare #diagnosis #management
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Systolic Murmurs - Differential ... Diagnosis Algorithm ... Chordae Tendinae • Rupture ... • Infarct • Rupture ... Systolic #Murmurs #Cardiology
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
with Infective Endocarditis ... Number one cause of culture ... #Infective #Endocarditis ... BloodCultures #Diagnosis #Management ... #Algorithm
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
Blood Culture Collection ... Algorithm - Adult ... Implementation-of-an-evidence-based-algorithm-reduces-blood-culture-overuse-in-an-adult-emergency-department.php ... tract infection, endocarditis ... #Management #BloodCultures
Causes of blood culture negative infective endocarditis

Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
Causes of blood culture ... identified with modern culture ... BCNIE #Causes #differential ... diagnosis #causes #culture ... #CNIE #BCNIE #cardiology
Endocarditis Algorithm - Infective vs Noninfective Causes
Noninfective:
 • Malignancy
 • Autoimmune disease
 • Systemic infection
Native Valve
Endocarditis Algorithm ... • HACEK • Culture-negative ... amzn.to/2LmUODZ #Endocarditis ... #Algorithm #Infective ... Noninfective #Causes #Differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
90% of IE cases Culture ... staphylococci Culture ... Marantic (NTBE) Differential ... #diagnosis #management ... #cardiology
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
mellitus; EF, ejection ... with preserved ejection ... support; and MI, myocardial ... Stages #ACCAHA #Algorithm ... #Management #Cardiology