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Primary and Secondary Causes of Mitral Regurgitation Primary (organic) chronic mitral regurgitation: • Leaflet: Rheumatic fever, Infective
Leaflet: Rheumatic fever ... , Infective endocarditis ... • Prosthetic valve ... annulus valve: ... #differential #diagnosis
Systolic Murmurs - Differential Diagnosis Algorithm Benign / Flow / Hyperdynamic: • Pregnancy • Fever • Anemia Supravalvular
Systolic Murmurs - Differential ... Diagnosis Algorithm ... • Trauma Mitral ... Murmurs #Cardiology #Differential ... #Diagnosis #Algorithm
Relative Risk of Various Predisoosing Conditions for Infective Endocarditis High Risk: - Prosthetic valves -
- Aortic valve ... disease - Mitral ... regurgitation ... RiskFactors #Cardiology #Diagnosis ... #Differential #
Causes of Severe Aortic Regurgitation - Differential Diagnosis Acute: • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
- Differential ... Diagnosis Acute ... Acute Prosthetic Valve ... , Rheumatic Fever ... #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 ... #Endocarditis #diagnosis
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Acute bacterial endocarditis ... • Infective endocarditis ... #Patterns #Differential ... #Diagnosis #intermittent
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology Pulse pressure is the difference between the systolic blood
Pulse Pressure - Differential ... sclerosis (both heart valve ... • Infective Endocarditis ... • Mitral Regurgitation ... • Mitral Stenosis
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm Neoplasm: • NHL • Hodgkin's lymphoma • Leukemia • Solid
Origin (FUO) - Differential ... Diagnosis Algorithm ... • Infectious endocarditis ... #FUO #Chronic #Differential ... #Diagnosis #Algorithm
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 ... help hone your differential ... #Dissociation #diagnosis ... #differential #
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
consultation • Valve ... regurgitation or ... • Persistent fever ... growth or worsening valve ... #criticalcare #diagnosis
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