39 results
Non-Infective Endocarditis (NBTE / Marantic Endocarditis)
Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
the surface of valve ... leaflet • Vegetations ... left-sided heart valves ... non-infective vegetation ... pathognomonic signs
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... specific to NBTE, and diagnosis ... is required for diagnosis ... false-negative results: vegetation ... already embolised, Vegetations
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
consultation • Valve ... cultures • Large vegetation ... repeat echo (to r/o vegetation ... growth or worsening valve ... #criticalcare #diagnosis
Valvular vs Non-Valvular Atrial Fibrillation - Classification
Valvular:
 • Presence of moderate-to-severe mitral stenosis or artificial (mechanical)
mechanical) heart valve ... mechanical heart valve ... #Fibrillation #AFib ... Classification #diagnosis
Summary table of heart murmurs associated with mitral and aortic valve diseases as well as their
mitral and aortic valve ... well as their signs ... #diagnosis #heart
Causes of Ischemic Stroke - Differential Diagnosis Framework
Important to determine and treat the etiology behind because
- Differential Diagnosis ... • Arrhythmias: Afib ... stenosis, Prosthetic valve ... #Differential #Diagnosis
Stroke Etiologies
Hemorrhagic (IPH, SAH)
Ischemic
 - Large Vessel Atherosclerosis
 - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
Cardioembolic: Atrial fib ... , prosthetic valves ... embolism, Occult a-fib ... #differential #diagnosis
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
cardiomyopathy Acute valve ... - Prosthetic valve ... Comparison #Table #Diagnosis ... #Features #Signs
Marantic Endocarditis 

Epidemiology:
 - Incidence of non-bacterial thrombotic endocarditis (marantic endocarditis if associated with cancer) is
patients with no signs ... Vegetations mostly ... just sit on valve ... destruction of valve ... #Endocarditis #Diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... formation • Other vegetations ... Differential Diagnosis ... Endocarditis Diagnosis ... -mm left sided vegetations