12 results
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
Consider BCx, CSF ... evaluation as 5 ... diagnosed with CXR ... SeriousBacterialIllness #Ddxof
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Fulminant: - Acute ... HF, Cardiogenic ... precipitating agent ... diagnosis #management #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
(Sens. 81% for acute ... effusions). 1/5 pts w/ acute ... HF → no signs of ... CXR congestion. ... diagnosis #management #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Management Checklist Evaluation ... drained if causing acute ... weak inotropic agent ... treatment for acute ... #Checklist #CHF
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Decompensated HF ... ventricular rhythm • Absence ... identify left atrial thrombus ... TEE to exclude thrombus ... diagnosis #management #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
• A lack of acute ... neck veins, • Absence ... ischemic changes CXR ... Etiology: • Acute ... differential #diagnosis #cardiology
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Cardiac LV Thrombus ... woman in ICU for acute ... PMHx recent CHF, ... consider contrast agent ... A4C #clinical #cardiology
Cardiac LV Thrombus on Echocardiogram Short-Axis View (PSAX)
48 year old woman in ICU for acute ischemic
Cardiac LV Thrombus ... woman in ICU for acute ... PMHx recent CHF, ... consider contrast agent ... PSAX #clinical #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
important to recognize Acute ... are excellent at evaluating ... Cardiac cath if acute ... algorithm #management #cardiology ... #heartfailure #chf
Chagas Disease - American Trypanosomiasis - Diagnosis and Management Summary
Chagas disease (American trypanosomiasis) is an infectious
weeks incubation Acute ... indefinitely in the absence ... cardiomyopathy (→HF ... aneurysm), mural thrombi ... Tests - check Acute