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diagnosis cardiology echocardiogram mitralvalve pulse antibiotic comparison dissociation fagets infectiousdiseases management marantic nbte noninfective pathophysiology plax pressure primary regurgitation secondary
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
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 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
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
features: Fever ... embolism +++, Heart failure ... features: Fever ... embolism +, Heart failure ... in up to 30% of cases
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
What's the Dx? • 29-year-old male • Transfer community hospital • Hypotension • Renal failure • Altered mental status.
Hypotension • Renal failure ... demonstrate a mobile mitral ... young patient with fever ... #Clinical #POCUS ... Echocardiogram #PLAX #Infective
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 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 ... New-onset Heart Failure ... Marantic (NTBE) Differential ... Treat underlying cause
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology Pulse pressure is the difference between the systolic blood
sclerosis (both heart valve ... High output heart failure ... Trauma • Heart Failure ... • Infective Endocarditis ... • Mitral Stenosis
Causes of Antibiotic Failure - Differential Diagnosis Framework Diagnosis: • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Causes of Antibiotic ... Failure - Differential ... Atypical bacteria: Viral ... lines, osteo, endocarditis ... SJS, DIHS, drug fever
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 ... Septic emboli cause ... #Endocarditis #Differential
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