16 results
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
Mitral Valve Infective Endocarditis on POCUS Echocardiogram

IE & HIV & CD4<100 - Oh My!! Time for
Mitral Valve Infective ... Endocarditis on ... POCUS Echocardiogram ... #Endocarditis # ... #clinical #a4c
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
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
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Pyogenic/focal infection ... arthritis • Infective ... Non-Infectious Causes ... #Patterns #Differential
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
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 ... Paradoxical emboli via ASD ... Persistent bacteremia/fevers
Causes of Thrombocytopenia - Differential Diagnosis Framework
Decreased Production:
 - Drugs (chemo, yang, sulfa, acetaminophen, NSAIDs, quinine,
Causes of Thrombocytopenia ... - Differential ... infiltration: malignancy, infection ... - Mechanical: valve ... replacement, endocarditis