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cardiology diagnosis causes clinical echocardiogram pocus mitralvalve primary regurgitation antibiotic atrium failure functional giant infectiousdiseases infective left management stenosis vegetation
Primary and Secondary Causes of Mitral Regurgitation Primary (organic) chronic mitral regurgitation: • Leaflet: Rheumatic fever, Infective
Primary and Secondary ... Leaflet: Rheumatic fever ... • Prosthetic valve ... annulus valve: ... Regurgitation #differential
Mitral Valve Endocarditis on POCUS Echocardiogram 66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... Pt had mitral valve ... #MitralValve #Endocarditis ... clinical #cardiology #a4c ... #plax
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 What's the Dx? • 29-year-old male • Transfer community hospital • Hypotension • Renal failure • Altered mental status.
demonstrate a mobile mitral ... with a vegetation secondary ... to endocarditis ... young patient with fever ... Echocardiogram #PLAX
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 Giant dilated left atrium on Echocardiogram (a4c) It belongs to a 92-year old lady with a history
Giant dilated left ... Echocardiogram (a4c ... Mitral valve doesn ... ASD with R/L shunting ... #left #atrium #a4c
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 Causes of mitral stenosis Rheumatic heart disease - Most common cause worldwide. Commissural fusion, thick MV leaflets
calcification - Age-related ... dysplastic MV leaflets Secondary ... disease Infective endocarditis ... atrial myxoma)/ball valve ... Causes #diagnosis #differential
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 Primary and Functional Mitral Regurgitation (MR) Causes of primary mitral regurgitation - Rheumatic heart
Infective/marantic endocarditis ... valve - Secondary ... Nonischemic MR: Dilated ... results in MR from dilated ... Primary #Functional #Differential
Causes of Antibiotic Failure - Differential Diagnosis Framework Diagnosis: • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Antibiotic Failure - Differential ... Autoimmune, Drug-related ... 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 ... Persistent bacteremia/fevers ... #Endocarditis #Differential
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