17 results
Mitral Valve Infective Endocarditis on POCUS Echocardiogram

IE & HIV & CD4<100 - Oh My!! Time for
Mitral Valve Infective ... Endocarditis on ... POCUS Echocardiogram ... daptomycin, pip/tazo and ... #clinical #a4c
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
Primary and Secondary ... Causes of Mitral ... endocarditis, Myxomatous ... Regurgitation #differential ... diagnosis #cardiology #causes
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint Pain - Differential ... Syphilis (Red/Copper ... • Primary HIV Infection ... • Endocarditis ... #Orthopedics #Causes
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... chordae Severe mitral ... Whipple's disease Infective ... endocarditis (vegetations ... #diagnosis #differential
Causes of Thrombocytopenia - Differential Diagnosis Framework
Decreased Production:
 - Drugs (chemo, yang, sulfa, acetaminophen, NSAIDs, quinine,
Causes of Thrombocytopenia ... - Differential ... quinine, etc) - Viral ... infiltration: malignancy, infection ... valve replacement, endocarditis
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
Causes of Primary ... disease: Most common cause ... stenosis - Infective ... /marantic endocarditis ... #Functional #Differential
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
Clips 1 and 2 demonstrate ... a mobile mitral ... applying color Doppler ... Clinical #POCUS #Echocardiogram ... #PLAX #Infective
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
Pulse Pressure - Differential ... Heart Failure • Infective ... Endocarditis ... • Mitral Regurgitation ... • Mitral Stenosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
mitral regurgitation ... Septic Emboli Cause ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... Treat underlying cause
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - Differential ... Pyogenic/focal infection ... arthritis • Infective ... Non-Infectious Causes ... Fever #Patterns #Differential