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diagnosis differential cardiology concurrent infections infectiousdiseases lung management criticalcare checklist clinical comparison complications criteria duke echocardiography ecmo edema infective major
Endocarditis - Duke Criteria - Major and Minor MAJOR CRITERIA: - Persistently +ve blood culture for
Endocarditis - Duke ... organisms - ECHO ... emboli to organs / brain ... criteria #Endocarditis
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
from Infective Endocarditis ... signs/symptoms or echo ... valves • MRI brain ... in up to 30% of cases ... often seen • MRI brain
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... suspect right-sided endocarditis ... joints, spleen, brain ... Consider repeat echo ... Critical Care #Endocarditis
Major Brain Complications of Endocarditis Abscess: • May be macro or micro and occur at site of
Major Brain Complications ... of Endocarditis ... Ischemic stroke caused ... caseyalbin #endocarditis ... complications #brain
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Endocarditis Summary ... positive in 90% of IE cases ... Septic Emboli Cause ... cultures • 2D Echo ... Treat underlying cause
ECMO Troubleshooting - OnePager Summary ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
ECMO Troubleshooting ... - Team should train ... circuit and can cause ... pump is trying to drain ... EMBOLISM - can cause
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... size: Normal ECHO ... edema (Traumatic brain
Differential Diagnosis for Concurrent Brain and Lung Infections • Bacteria: Strep anginosus, Staph aureus, Klebsiella pneumoniae
for Concurrent Brain ... phenomena from endocarditis ... @ID_fellows #Brain ... Differential #Diagnosis #causes
Concurrent Brain and Lung Lesions • Bacteria: Nocardia spp, Strep anginosus, Staph aureus, Klebsiella pneumoniae (hypervirulent),
Concurrent Brain ... phenomena from endocarditis ... febrilepodcast #Brain ... Differential #Diagnosis #causes
Concurrent Brain and Lung Lesions • Bacteria: Nocardia spp, Strep anginosus, Staph aureus, Klebsiella pneumoniae (hypervirulent),
Concurrent Brain ... phenomena from endocarditis ... febrilepodcast #Brain ... Differential #Diagnosis #causes
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