9 results
Mitral valve endocarditis complicated by an abscess - Echocardiogram

Ivan Stankovic, MD, PhD @ https://twitter.com/Ivan_Echocardio

#MitralValve #Mitral #Valve
Mitral valve endocarditis ... - Echocardiogram ... Ivan_Echocardio #MitralValve ... #endocarditis #abscess ... Clinical #Cardiology #A2C
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm
Neoplasm:
• NHL
• Hodgkin's lymphoma
• Leukemia
• Solid
Causes of Fever ... Origin (FUO) - Differential ... • Infectious endocarditis ... Osteomyelitis • Occult abscess ... #FUO #Chronic #Differential
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... infection • Abscess ... Non-Infectious Causes ... • Hepatic abscess ... #Patterns #Differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Involves aortic and mitral ... night sweats, fever ... New-onset Heart Failure ... Marantic (NTBE) Differential ... symptomatic heart failure
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
Hypotension • Renal failure ... demonstrate a mobile mitral ... young patient with fever ... Clinical #POCUS #Echocardiogram ... #MitralValve #Vegetation
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... Bradycardia • Renal failure ... • Aortic Valve Endocarditis ... + Abscess • Sick ... #diagnosis #causes
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
Necrotizing PNA, Abscess ... • Valvular (Mitral ... regurgitation, Tricuspid endocarditis ... ), Heart failure ... Diagnosis #pulmonary #causes
Causes of Antibiotic Failure - Differential Diagnosis Framework
Diagnosis:
 • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Causes of Antibiotic ... Failure - Differential ... Source control (abscess ... lines, osteo, endocarditis ... SJS, DIHS, drug fever
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... involves aortic and mitral ... night sweats, fever ... Septic emboli cause ... #Differential #