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Non-infective endocarditis Characteristics and Pathophysiology

By Dr. Sara Dong @swinndong via #IDFellowCase

#ID  #Infectious Diseases  #Infections
#Differential
Non-infective endocarditis ... Differential #Ddx #Diagnosis ... #BCNIE #CNIE #Endocarditis ... #Cardiac #Pathophysiology
Clinical Features of Infective Endocarditis

General 
 - Malaise 
 - Clubbing 

Cardiac 
 - Murmurs
Features of Infective Endocarditis ... - Clubbing Cardiac ... - Murmurs - Cardiac ... #Infective #Endocarditis ... #PhysicalExam #Diagnosis
Echo Parameters for Differential Diagnosis in Cardiac Amyloidosis
GLS
GCS
GRS
EFSR
RELAPS
SAB

#Echocardiogram #Parameters #echocardiography #Cardiac #Amyloidosis #diagnosis
for Differential Diagnosis ... in Cardiac Amyloidosis ... RELAPS SAB #Echocardiogram ... echocardiography #Cardiac ... #Amyloidosis #diagnosis
POCUS Reference Measurements
 • Gallbladder
 • Urinary Bladder
 • GI Tract
 • Pregnancy
 • Optic Nerve
• Aorta • Cardiac ... Measurements #Ultrasound #Echocardiogram ... #Diagnosis
POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
@SAlerhand #Cardiac ... Tamponade #POCUS #Diagnosis ... Cardiology #Effusion #Echocardiogram
POCUS - Measuring Cardiac Output
1) Calculate LVOT Area
2) Calculate LVOT VTI
3) Calculate Cardiac Output

SV = (LVOT
POCUS - Measuring Cardiac ... VTI 3) Calculate Cardiac ... 101 @Pocus101 #Cardiac ... Output #CO #POCUS #Echocardiogram ... Measurement #cardiology #diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
dental procedure • Cardiac ... loss • Myalgias Cardiac ... : • New cardiac ... Differential Diagnosis ... Diagnosis?
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
for Infective Endocarditis ... demonstrating active endocarditis ... involvement - Echocardiogram ... criteria #Infective #Endocarditis ... #diagnosis #major
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Abnormal ECG, echocardiogram ... shock, sudden cardiac ... #Myocarditis #Diagnosis
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Anaphylaxis - Post-cardiac ... dysfunction - Endocarditis ... Comparison #Table #Diagnosis