18 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic pulmonary ... for metastatic infection ... • Persistent fever ... Josh Farkas @PulmCrit ... Endocarditis #checklist #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... Cardiogenic: Myocardial Infarction ... • Obstructive: Pulmonary ... #Diagnosis #criticalcare ... algorithm #treatment #management
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Classification and Differential ... Insufficiency, Liver ... • Myocardial Infarction ... , CVP > 12 • Pulmonary ... Diagnosis #Types #criticalcare
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Phos), CBC with differential ... workup or TSH level ... ://twitter.com/PulmCrit ... MyastheniaGravis #Checklist #Management ... #CriticalCare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
host response to infection ... Cardiomyopathic → myocardial infarction ... types #diagnosis #management ... #criticalcare # ... differential
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Illnesses: • Pulmonary ... complicate MAC pulmonary ... infiltrates NTM Pulmonary ... diagnosis • Microbiologic ... #differential #
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Clinical triad: Fever ... fraction < 20% Differential ... Diaqnoses: • Infectious ... hepatitis • Pulmonary ... Disease #diagnosis #management
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Diagnosis and Management ... Limb ischemia Pulmonary ... friction rub, Fever ... trauma, caustic ingestion ... #Algorithm #differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Hypercoagulable (APLAS) Microbiology ... night sweats, fever ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... Endocarditis #diagnosis #management
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
polymicrobial infection ... decubitus - air fluid level ... Lung Abscess Differential ... Lung #Abscess #pulmonary ... #differential #