10 results
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
Primary and Secondary ... Regurgitation Primary ... • Prosthetic valve ... annulus valve: ... Regurgitation #differential
Causes of Ischemic Stroke - Differential Diagnosis Framework
Important to determine and treat the etiology behind because
Ischemic Stroke - Differential ... • Arrhythmias: Afib ... * • Valvular: Mitral ... stenosis, Prosthetic valve ... • Endocarditis
Stroke Etiologies
Hemorrhagic (IPH, SAH)
Ischemic
 - Large Vessel Atherosclerosis
 - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
Cardioembolic: Atrial fib ... , prosthetic valves ... , LV aneurysm, Endocarditis ... embolism, Occult a-fib ... Stroke #causes #differential
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... disease Infective endocarditis ... (vegetations)/tumor ... 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
• Prosthetic valve ... Involves aortic and mitral ... formation • Other vegetations ... Marantic (NTBE) Differential ... -mm left sided vegetations
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
Causes of Primary ... Infective/marantic endocarditis ... Vegetations seen ... valve - Secondary ... #Functional #Differential
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... involves aortic and mitral ... formation • Other vegetations ... -mm left sided vegetations ... #Endocarditis #Differential
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... heart failure • Mitral ... valve prolapse ... brain flow (VT/Vfib ... /Afib/WPW) • Loss
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Petechial Rash - Differential ... Abnormalities in primary ... Schonlein Purpura - Endocarditis ... Microscopic) - Viral ... • Abdominal ultrasound
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... the context of primary ... • Libman-Sacks endocarditis ... Cytopenias • Cardiac valve ... vegetations APLA