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cardiology marantic nbte artery atrium clinical comparison contrast coronary criteria echocardiogram effect embolism erythematosus infectiousdiseases infective lupus management negative pathophysiology
Non-Infective Endocarditis (NBTE / Marantic Endocarditis) Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
the surface of valve ... left-sided heart valves ... embolize • Cannot differentiate ... absent How can we differentiate ... @ID_fellows #NonInfective
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
diagnosis can only ... false-negative results: vegetation ... already embolised, Vegetations ... often small (<1 ... @ID_fellows #NonInfective
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
(Vegetation, Thrombus ... , PFO, ASD, h/o ... cardiac surgery, endocarditis ... Artery #Embolism #diagnosis ... #differential #
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
formation • Other vegetations ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... -mm left sided vegetations ... #Endocarditis #diagnosis
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Right Atrium - Differential ... Diagnosis 1. ... Small secundum ASD ... echocardiogram #s4c ... #pocus #bubble
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 Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential ... Paradoxical emboli via ASD ... formation • Other vegetations ... -mm left sided vegetations ... #Endocarditis #Differential
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... • Libman-Sacks endocarditis ... Cytopenias • Cardiac valve ... vegetations APLA ... • ANA titers > 1:
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