13 results
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
, Infective endocarditis ... , Infective endocarditis ... • Prosthetic valve ... annulus valve: ... #differential #diagnosis
Relative Risk of Various Predisoosing Conditions for Infective Endocarditis 
High Risk:
 - Prosthetic valves 
 -
- Prosthetic valves ... - Aortic valve ... disease - Mitral ... regurgitation ... Cardiology #Diagnosis #Differential
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
Causes of Severe Aortic Regurgitation - Differential Diagnosis
Acute:
 • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
- Differential ... Endocarditis, Acute ... Prosthetic Valve ... : Infective Endocarditis ... , Rheumatic Fever
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
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
sclerosis (both heart valve ... Heart Failure • Infective ... Endocarditis ... • Mitral Regurgitation ... • Mitral Stenosis
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Pyogenic/focal infection ... arthritis • Infective ... - Temperature Pulse ... #Patterns #Differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Involves aortic and mitral ... regurgitation ... night sweats, fever ... Marantic (NTBE) Differential ... Persistent bacteremia/fevers
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
infection • ... Cardiovascular system • Mitral ... regurgitation and ... Diminished peripheral pulses ... #joint #pain #differential
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
for metastatic infection ... consultation • Valve ... regurgitation or ... • Persistent fever ... Internet Book of Critical