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cardiology dermatology primary regurgitation rheumatology algorithm antibiotic arthritis clinical echocardiogram failure functional hematology infectiousdiseases infective joint management mitralvalve monoarthritis monoarticular
Primary and Secondary Causes of Mitral Regurgitation Primary (organic) chronic mitral regurgitation: • Leaflet: Rheumatic fever, Infective
Causes of Mitral ... • Prosthetic valve ... annulus valve: ... Regurgitation #differential ... #diagnosis #cardiology
What's the Dx? • 29-year-old male • Transfer community hospital • Hypotension • Renal failure • Altered mental status.
demonstrate a mobile mitral ... with a vegetation secondary ... young patient with fever ... #Clinical #POCUS ... Echocardiogram #PLAX
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 Causes of mitral stenosis Rheumatic heart disease - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... dysplastic MV leaflets Secondary ... disease Infective endocarditis ... atrial myxoma)/ball valve ... #diagnosis #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 ... Marantic (NTBE) Differential ... Treat underlying cause ... #Endocarditis #diagnosis
Causes of Primary and Functional Mitral Regurgitation (MR) Causes of primary mitral regurgitation - Rheumatic heart
Causes of Primary ... Infective/marantic endocarditis ... valve - Secondary ... #Functional #Differential ... #Diagnosis #Cardiology
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
Purpura - Differential Diagnosis Framework Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
Purpura - Differential ... Diagnosis Framework ... leakage of RBC's secondary ... mountain spotted fever ... • Bacterial endocarditis
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 ... Persistent bacteremia/fevers ... #Endocarditis #Differential
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Rash - Differential ... in primary or secondary ... Red Flags: • Fever ... Schonlein Purpura - Endocarditis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Pain - Arthritis Differential ... Diagnosis Framework ... weeks) Can Be Caused ... • Bacterial endocarditis ... tuberculosis) • Fungi, secondary
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