9 results
Mitral Valve Infective Endocarditis on POCUS Echocardiogram

IE & HIV & CD4<100 - Oh My!! Time for
Mitral Valve Infective ... Endocarditis on ... #Endocarditis # ... Echocardiogram #clinical ... #a4c #cardiology
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
, Infective endocarditis ... , Infective endocarditis ... • Prosthetic valve ... annulus valve: ... Regurgitation #differential
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
Viral Hemorrhagic ... CLINICAL UTILITY ... limited predictive value ... the most likely infection ... help hone your differential
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
for metastatic infection ... consultation • Valve ... • Persistent fever ... growth or worsening valve ... Internet Book of Critical
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
demonstrate a mobile mitral ... young patient with fever ... #Clinical #POCUS ... Echocardiogram #PLAX #Infective ... #Endocarditis #
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 ... Persistent bacteremia/fevers ... #management #cardiology
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
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis - Differential ... Framework and Management ... Statins - ETOH - Infection ... Dermatomyositis Clinical ... Muscle swelling - Fever
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
noncompliance • Clinical ... initiation Clinical ... Leishmaniasis Differential ... Inflammatory #Syndrome #Differential ... #Diagnosis #Management