31 results
Ruptured Chordae Tendineae on POCUS Echocardiogram
 
Many underlying causes, not limited to: MVP, subacute endocarditis, connective
Chordae Tendineae on POCUS ... MVP, subacute endocarditis ... Assess for MR when ... you see ruptured ... Chordae #Tendineae #POCUS
►
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Autoimmune (SLE ... Differential Diagnosis ... Diagnosis? ... Complications: Abscess ... #diagnosis #management
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... Assess volume status ... volume loss - diarrhea ... - fevers • renal ... Hypernatremia #Diagnosis
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm
Neoplasm:
• NHL
• Hodgkin's lymphoma
• Leukemia
• Solid
- Differential Diagnosis ... Autoimmune: • SLE ... • Infectious endocarditis ... Osteomyelitis • Occult abscess ... #Differential #Diagnosis
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Systemic Lupus (SLE ... Pericarditis, Endocarditis ... Abdominal pain (20%) Renal ... Thrombocytopenia #Lupus #SLE ... signs #symptoms #diagnosis
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
- Differential Diagnosis ... Bradycardia • Renal ... • Aortic Valve Endocarditis ... + Abscess • Sick ... Autoimmune: • SLE
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
specific to NBTE, and diagnosis ... is required for diagnosis ... conditions: Autoimmune (SLE ... common, Aortic root abscess ... NBTE #Marantic #diagnosis
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
- Differential Diagnosis ... Necrotizing PNA, Abscess ... Goodpasture's, SLE ... regurgitation, Tricuspid endocarditis ... #Differential #Diagnosis
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
- Differential Diagnosis ... Metabolic • Renal ... Infectious • Endocarditis ... Arthritis • SLE ... #Differential #Diagnosis
Atypical HUS - Hemolytic Uremic Syndrome
Unlike typical HUS, which is shigatoxin mediated, aHUS is not typically
associated with diarrhea ... autoimmune like SLE ... with this had renal ... those who get renal ... Uremic #Syndrome #diagnosis