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Primary and Secondary Causes of Mitral Regurgitation Primary (organic) chronic mitral regurgitation: • Leaflet: Rheumatic fever, Infective
and Secondary Causes ... cardiomyopathy - VA Joint ... Regurgitation #differential ... #diagnosis #cardiology ... #causes #primary
Systolic Murmurs - Differential Diagnosis Algorithm Benign / Flow / Hyperdynamic: • Pregnancy • Fever • Anemia Supravalvular
Systolic Murmurs - Differential ... Diagnosis Algorithm ... Systolic #Murmurs #Cardiology ... #Differential # ... #causes
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm Neoplasm: • NHL • Hodgkin's lymphoma • Leukemia • Solid
Causes of Fever ... Origin (FUO) - Differential ... Diagnosis Algorithm ... • Infectious endocarditis ... #causes
Infectious Joint Pain - Differential Diagnosis Algorithm Polyarticular Join Pain • Viral Myalgia • Viral Arthritis
Infectious Joint ... Pain - Differential ... Diagnosis Algorithm ... Infection • Endocarditis ... #Orthopedics #Causes
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Acute bacterial endocarditis ... Non-Infectious Causes ... #Patterns #Differential ... #Diagnosis #intermittent
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Subacute bacterial endocarditis ... Cardiovascular system • Mitral ... - Bacterial endocarditis ... #pain #differential ... #diagnosis #rheumatology
Causes of mitral stenosis Rheumatic heart disease - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... chordae Severe mitral ... disease Infective endocarditis ... #diagnosis #differential ... #cardiology
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... acute rheumatic fever ... Like in this case ... • Acute = Viral ... approach #workup #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 ... Septic Emboli Cause ... Marantic (NTBE) Differential ... #cardiology
Causes of Primary and Functional Mitral Regurgitation (MR) Causes of primary mitral regurgitation - Rheumatic heart
disease: Most common cause ... Infective/marantic endocarditis ... of coaptation point ... #Functional #Differential ... #Diagnosis #Cardiology
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