10 results
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
Leaflet: Rheumatic fever ... , Infective endocarditis ... • Prosthetic valve ... annulus valve: ... Regurgitation #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 ... via ASD • Metastatic ... Persistent bacteremia/fevers
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
LAA Thrombus), Valve ... disease, prosthetic valve ... , PFO, ASD, h/o ... cardiac surgery, endocarditis ... #diagnosis #differential
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 ... via ASD • Metastatic ... #Endocarditis #Differential
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Regions - Frequent Differential ... infection, infective endocarditis ... typhoid, pulmonary embolism ... mononucleosis, infective endocarditis ... Returning #Traveler #differential
Venous Thrombosis vs Arterial Thrombosis - Differential Diagnosis Framework

VENOUS THROMBOSIS

 • Acquired Risk Factors:
	- >48 hours
Arterial Thrombosis - Differential ... dissection - Aortic mural ... from prosthetic valves ... Infected cardiac valves ... #differential #
Causes of Thrombocytopenia - Differential Diagnosis Framework
Decreased Production:
 - Drugs (chemo, yang, sulfa, acetaminophen, NSAIDs, quinine,
Thrombocytopenia - Differential ... quinine, etc) - Viral ... - Mechanical: valve ... replacement, endocarditis ... Diagnosis #Framework #hematology
Purpura - Differential Diagnosis Framework

Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
Purpura - Differential ... CTD (SLE) - Viral ... mountain spotted fever ... • Bacterial endocarditis ... #nonpalpable #dermatology
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Petechial Rash - Differential ... Red Flags: • Fever ... Schonlein Purpura - Endocarditis ... - Cholesterol embolism ... Algorithm #Causes #dermatology
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
Tricuspid Valve ... Endocarditis on ... presents with fever ... have lung septic emboli ... clinical #cardiology #s4c