16 results
Mitral valve endocarditis complicated by an abscess - Echocardiogram

Ivan Stankovic, MD, PhD @ https://twitter.com/Ivan_Echocardio

#MitralValve #Mitral #Valve
Mitral valve endocarditis ... Ivan_Echocardio #MitralValve ... #Mitral #Valve ... #endocarditis #abscess ... Clinical #Cardiology #A2C
Mitral Valve Infective Endocarditis on POCUS Echocardiogram

IE & HIV & CD4<100 - Oh My!! Time for
Mitral Valve Infective ... Endocarditis on ... ultrasound_vcu #MitralValve ... #Infective #Endocarditis ... Echocardiogram #clinical #a4c
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
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
Hemoptysis - Differential ... Kaposi's sarcoma • Rheumatologic ... • Valvular (Mitral ... regurgitation, Tricuspid endocarditis ... #Differential #
Pancytopenia - Differential Diagnosis Algorithm
 • 12-13 g/dL,
 • ANC < 1800/uL,
 • platelet < 150,000/uL

Initial
Pancytopenia - Differential ... 12-13 g/dL, • ANC ... ↑ Destruction (hemolysis ... #Pancytopenia #Differential ... Diagnosis #Algorithm #hematology
Approach to Thrombocytosis - Elevated Platelet Count - Differential Diagnosis Algorithm

Peripheral Smear concerning for malignancy?
Platelet Count - Differential ... blood loss, Acute hemolysis ... Inflammatory Conditions: Rheumatologic ... bacterial and viral ... Thrombocytosis #Platelets #Differential
Causes of Thrombocytopenia - Differential Diagnosis Framework
Decreased Production:
 - Drugs (chemo, yang, sulfa, acetaminophen, NSAIDs, quinine,
Thrombocytopenia - Differential ... quinine, etc) - Viral ... valve replacement, endocarditis ... Thrombocytopenia #Differential ... Diagnosis #Framework #hematology
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - Differential ... Acute bacterial endocarditis ... • Infective endocarditis ... with profound hemolysis ... Fever #Patterns #Differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... Involves aortic and mitral ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... #Endocarditis
Purpura - Differential Diagnosis Framework

Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
Purpura - Differential ... CTD (SLE) - Viral ... • Bacterial endocarditis ... Vasculopathy #Purpura #Differential ... #rheumatology #