21 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
for metastatic infection ... • Persistent fever ... • Aggressive management ... metastatic foci of infection ... Josh Farkas @PulmCrit
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Drugs • ICP / Infections ... • Aortic Valve Endocarditis ... Cimetidine Infections ... : • Lyme disease ... • Chagas disease
Chagas Disease (American trypanosomiasis) - Diagnosis and Management Summary
Acute Chagas Disease (8-12 weeks):
 • Mild: Malaise,
Chagas Disease ( ... Diagnosis and Management ... Mild: Malaise, fever ... useful for chronic infection ... #Microbiology #
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Infectious: • Pre-existing ... Hypercoagulable (APLAS) Microbiology ... night sweats, fever ... • Infectious insult ... #diagnosis #management
Q Fever (Coxiella Burnetii) - Acute vs Chronic Diagnosis and Management

Acute:
 - Self-limited flu-like illness
 -
Q Fever (Coxiella ... Diagnosis and Management ... Hepatitis - Acute endocarditis ... #microbiology ... #diagnosis #management
Tularemia - Diagnosis and Management Summary
Francisella tularensis - Aerobic fastidious gram-negative Coccobacillus - Zoonotic Infection
 •
Diagnosis and Management ... Coccobacillus - Zoonotic Infection ... Ulceroglandular: Fever ... Treatment: • Severe Disease ... infectiousdiseases #microbiology
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
, HD catheter, endocarditis ... Alcoholism, DM, HIV Microbiology ... but rare triad: Fever ... weakness, sensory changes ... Abscess #diagnosis #management
Chagas Disease (American trypanosomiasis) - Diagnosis and Management Summary
Acute Chagas Disease (8-12 weeks):
 • Mild: Malaise,
Chagas Disease ( ... Diagnosis and Management ... Mild: Malaise, fever ... useful for chronic infection ... #Microbiology #
Visceral Leishmaniasis - Diagnosis and Management Summary
Species: Leishmania donovani, Leishmania infantum, Leishmania chagasi
Where: South Asia, East
Diagnosis and Management ... infantum, Leishmania chagasi ... and NO, Suppress induction ... 2-6 months • Fever ... infectiousdiseases #microbiology
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
possible - Infectious ... workup or TSH level ... if symptoms of infection ... ://twitter.com/PulmCrit ... MyastheniaGravis #Checklist #Management