12 results
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
pyelonephritis Most common cause ... Consider BCx, CSF ... evaluation as 5 ... suggested if: - ANC ... SeriousBacterialIllness #Ddxof
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
What 2 eponymous JVP ... Most likely diagnosis ... the underlying cause ... #PhysicalExam #Clinical ... #Video #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... that’s called “clinical ... #PhysicalExam #JVP ... #Cardiology #Neck
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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What’s the diagnosis ... and other rarer causes ... of right-sided HF ... #physicalexam #clinical ... #video #jvp #cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Fulminant: - Acute HF ... Pericarditis, Tamponade EKG ... agent, steroids, AC ... #Myocarditis #diagnosis
Constrictive Pericarditis on Echocardiogram

Patient was referred to cardiology for evaluation of dyspnea. JVP was enough to
for evaluation ... JVP was enough to ... diagnose CP, prominent ... Echocardiogram #POCUS #clinical ... #cardiology #a4c
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
had gained 15 kg ... 100/82, HR 74, JVP ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
auscultation, JVD ... are excellent at evaluating ... ECG is vital while ... the determined cause ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... disease b) CHF ... Obtain EKG if: ... Change in clinical ... stratification #diagnosis
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Differential Diagnosis ... May have typical HF ... support for patients clinically ... #management #cardiology