122 results
Causes of Nail Clubbing - Mnemonic 
Cyanotic Heart Disease, Cystic Fibrosis
Lung Cancer, Lung abscess 
Ulcerative Colitis
Causes of Nail Clubbing ... Mesothelioma Infective Endocarditis ... , Idiopathic Pulmonary ... #Differential #Causes
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Heart Disease Pulmonary ... • Rupture • Endocarditis ... cardiomyopathy • Pulmonary ... • Prolapse • Endocarditis ... Diagnosis #Algorithm #causes
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue ... Infectious • Endocarditis ... Chronic Obstructive Pulmonary ... Myasthenia Gravis Pharmacologic ... Diagnosis #Algorithm #causes
Conjunctival Petechiae: Conjunctival petechiae, in this case secondary to endocarditis.
Photo credit, Josh Fierer, M.D.

Charlie Goldberg, M.D.
petechiae, in this case ... secondary to endocarditis ... UCSD Catalog of Clinical ... Images #Clinical ... Conjunctival #Petechiae #Endocarditis
Aortic and Mitral Valve Vegetations in Endocarditis on POCUS - PLAX

Why would this 30 y/o male
Vegetations in Endocarditis ... mitral valves and pulmonary ... #Vegetations #Endocarditis ... #POCUS #PLAX #clinical
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... positive in 90% of IE cases ... Cerebral > Splenic, pulmonary ... Septic Emboli Cause ... Treat underlying cause
Janeway Lesion: Flat, painless, erythematous lesions seen on the palm of this patient's hand. While
frequently associated
with bacterial endocarditis ... , in this case, ... UCSD Catalog of Clinical ... Images #Clinical ... Janeway #Lesions #Endocarditis
Rapidly Progressive Glomerulonephritis (RPGN)
RPGN has three primary pathophysiologic causes differentiated by immunofluorescence

Immune Complex Mediated (granular staining):
pathophysiologic causes ... Cryoglobulinemia, Endocarditis ... With associated pulmonary
Ruptured Chordae Tendineae on POCUS Echocardiogram
 
Many underlying causes, not limited to: MVP, subacute endocarditis, connective
Many underlying causes ... MVP, subacute endocarditis ... Echocardiogram #Ultrasound #Clinical
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... suspect right-sided endocarditis ... w/ septic pulmonary ... Internet Book of Critical ... Care #Endocarditis