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diagnosis cardiology rheumatology management algorithm dermatology joint pain regurgitation anemia arthritis blood fuo msk primary product pulse rash reactions workup
Primary and Secondary Causes of Mitral Regurgitation Primary (organic) chronic mitral regurgitation: • Leaflet: Rheumatic fever, Infective
and Secondary Causes ... , Infective endocarditis ... , Infective endocarditis ... 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 ... limited predictive value ... the most likely infection ... help hone your differential ... Dissociation #diagnosis #differential
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Pyogenic/focal infection ... Non-Infectious Causes ... with profound hemolysis ... #Patterns #Differential
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm Neoplasm: • NHL • Hodgkin's lymphoma • Leukemia • Solid
Causes of Fever ... Origin (FUO) - Differential ... • Infectious endocarditis ... #FUO #Chronic #Differential ... Diagnosis #Algorithm #causes
Causes of Severe Aortic Regurgitation - Differential Diagnosis Acute: • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
Causes of Severe ... Endocarditis, Acute ... Prosthetic Valve ... : Infective Endocarditis ... , Rheumatic Fever
Hemolytic Anemia - Differential Diagnosis Algorithm • Sickle cells - Consider sickle cell disease (diverse genotypes):
- Differential ... mechanical cardiac valve ... inclusions - If infection ... bartonella (oroya fever ... Algorithm #workup #hematology
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis • Infection: Extrapulmonary tuberculosis, Abscess, Endocarditis,
Causes of Fever ... Origin (FUO) - Differential ... Diagnosis • Infection ... tuberculosis, Abscess, Endocarditis ... Malignancy: - Hematologic
Causes of Thrombocytopenia - Differential Diagnosis Framework Decreased Production: - Drugs (chemo, yang, sulfa, acetaminophen, NSAIDs, quinine,
Causes of Thrombocytopenia ... infiltration: malignancy, infection ... - Mechanical: valve ... replacement, endocarditis ... Diagnosis #Framework #hematology
Causes of mitral stenosis Rheumatic heart disease - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... Whipple's disease Infective ... endocarditis (vegetations ... atrial myxoma)/ball valve ... #diagnosis #differential
Purpura - Differential Diagnosis Framework Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
Purpura - Differential ... DIC/TTP/HUS - Hemolytic ... CTD (SLE) - Viral ... mountain spotted fever ... • Bacterial endocarditis
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