15 results
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
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
, Infective endocarditis ... , Infective endocarditis ... annulus valve: ... Regurgitation #differential ... #diagnosis #cardiology
Relative Risk of Various Predisoosing Conditions for Infective Endocarditis 
High Risk:
 - Prosthetic valves 
 -
- Prosthetic valves ... - Aortic valve ... disease - Mitral ... RiskFactors #Cardiology ... #Diagnosis #Differential
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Systolic Murmurs - Differential ... Diagnosis Algorithm ... • Anemia Supravalvular ... Systolic #Murmurs #Cardiology ... #Differential #
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Pyogenic/focal infection ... schistosomiasis • Pyemia ... #Patterns #Differential ... #Diagnosis #intermittent
Causes of Severe Aortic Regurgitation - Differential Diagnosis
Acute:
 • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
Diagnosis Acute ... Prosthetic Valve ... : Infective Endocarditis ... , Rheumatic Fever ... #cardiology
Arrhythmias - Differential Diagnosis Algorithm
May present as: palpitations, dizziness, syncope, chest discomfort
Cardiac Causes:
 - Structural
Diagnosis Algorithm ... Structural • Valve ... State: • Anemia ... • Fever/infection ... #Arrhythmias #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Involves aortic and mitral ... Marantic (NTBE) Differential ... Leukocytosis, anemia ... #Endocarditis #diagnosis ... #management #cardiology
Hemolytic Anemia - Differential Diagnosis Algorithm
 • Sickle cells - Consider sickle cell disease (diverse genotypes):
Hemolytic Anemia ... genotypes): SS, SC ... mechanical cardiac valve ... inclusions - If infection ... bartonella (oroya fever
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Whipple's disease Infective ... endocarditis (vegetations ... atrial myxoma)/ball valve ... #differential # ... cardiology