4 results
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
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 ... Treat underlying cause
Causes of Antibiotic Failure - Differential Diagnosis Framework
Diagnosis:
 • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Causes of Antibiotic ... Failure - Differential ... Atypical bacteria: Viral ... 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 #