29 results
Infective endocarditis - etiology and sources of infection. 
 • Native and prosthetic 
valve endocarditis
 •
Infective endocarditis ... prosthetic valve endocarditis ... for TPN) and antibiotic ... #Sources #Causes ... #Microbiology #Diagnosis
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
Antibiotic Management ... Hemodynamically stable ... metastatic infection (endocarditis ... Hernodynamically stable ... Algorithm #CRBSI #diagnosis
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
with Infective Endocarditis ... Did they receive antibiotics ... Decreased yield due to antibiotic ... therapy - Number one cause ... BloodCultures #Diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Diagnosis? ... • IV Antibiotics ... Treat underlying cause ... sided IE: heart block ... lesions, heart block
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... suspect right-sided endocarditis ... course • Adjust antibiotics ... telemetry for heart block ... #criticalcare #diagnosis
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
- Differential Diagnosis ... Table - Wide vs ... AFIutter + variable block ... #Differential #Diagnosis ... #Table #Wide #Narrow
Common Medications Known to Prolong QTc
Antiarrhythmics - Amiodarone, sotalol, flecainide, quinidine, dronedarone, dofetilide
Vasopressors/inotropes - Epinephrine, norepinephrine,
, venlafaxine Antibiotics ... #Medications #Causes ... #differential #diagnosis ... #pharmacology # ... table
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
• Most common cause ... Switch to oral antibiotics ... once stable - ... shows a small, stable ... #differential #causes
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
- Differential Diagnosis ... • AV block ... #Differential #Diagnosis ... Classification #Table ... #Causes
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue ... - Differential Diagnosis ... Infectious • Endocarditis ... Myasthenia Gravis Pharmacologic ... #Algorithm #causes