30 results
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
Primary and Secondary ... Leaflet: Rheumatic fever ... , Infective endocarditis ... cardiomyopathy - VA Joint ... #differential #
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
acute rheumatic fever ... Noninflammatory • Bloody ... tumor • Non-bloody ... #rheumatology # ... approach #workup #differential
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Bacterial or viral infection ... Subacute bacterial endocarditis ... arteritis • Bloody ... • Aortic regurgitation ... #pain #differential
Endocarditis - Duke Criteria - Major and Minor

MAJOR CRITERIA: 
 - Persistently +ve blood culture for
Endocarditis - Duke ... Criteria - Major and ... - New valvular regurgitation ... Coxiella burnetii infection ... drug use - Fever
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
for metastatic infection ... (e.g., spine, joints ... consultation • Valve regurgitation ... • Persistent fever ... metastatic foci of infection
Causes of Severe Aortic Regurgitation - Differential Diagnosis
Acute:
 • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
- Differential ... Acute Infective Endocarditis ... , Rheumatic Fever ... Aortic Aneurysms and ... #Differential #
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
mitral regurgitation ... Microbiology: Blood ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... • Blood cultures
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
for Infective Endocarditis ... OR • 1 major and ... - New valvular regurgitation ... Predisposition • Fever ... evidence of active infection
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis Differential ... • Rheumatic fever ... • Bacterial endocarditis ... streptococci (rheumatic fever ... #pain #Differential
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... mitral regurgitation ... Microbiology: Blood ... Paradoxical emboli via ASD ... #Differential #