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clinical diagnosis cardiology pocus echocardiogram differential management causes aortic algorithm a4c radiology mitralvalve plax mitral ultrasound physicalexam regurgitation infective tricuspid
Endocarditis Algorithm - Infective vs Noninfective Causes Noninfective: • Malignancy • Autoimmune disease • Systemic infection Native Valve
Endocarditis Algorithm ... streptococci • Enterococcus ... epidermidis • Enterococcus ... Streptococcus • Enterococcus ... amzn.to/2LmUODZ #Endocarditis
DENOVA score to predict endocarditis in patients with Enterococcus faecalis bacteremia • Duration of symptoms ≥
score to predict endocarditis ... patients with Enterococcus ... infection unknown • Valve ... DENOVA #score #endocarditis ... #Enterococcus #
Infective Endocarditis - Indications for Surgery - "Fun-HEARTS" Mnemonic Fungal endocarditis Heart failure (valve dysfunction) Enterococcus (VRE) endocarditis Abscess, annular
Infective Endocarditis ... Mnemonic Fungal endocarditis ... Heart failure (valve ... dysfunction) Enterococcus ... (VRE) endocarditis
Microorganisms Responsible for Infective Endocarditis Native valves: - Streptococcus viridans - Enterococci - Other streptococci
for Infective Endocarditis ... Native valves ... viridans - Enterococci ... Prosthetic valves ... #Infective #Endocarditis
Mitral Valve Vegetation Echocardiogram Juicy vegetation on a mitral valve. 31% S. Aureus (IVDUs, IV lines) 17% Strep viridans 11%
Mitral Valve Vegetation ... vegetation on a mitral valve ... Strep viridans 11% enterococci ... Mitral #Vegetation #Endocarditis ... Echocardiogram #Valve
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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Endocarditis Summary ... • Prosthetic valve ... Pyogenes • Enterococci ... Influenza Prosthetic Valve ... aureus prosthetic valve
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Endocarditis - Overview ... • Prosthetic valve ... Pyogenes, Enterococci ... • Prosthetic Valve ... aureus prosthetic valve
Non-Infective Endocarditis - Pathophysiology Non-infective Endocarditis Pathophysiology: • Valves usually undamaged - Etiology poorly understood but thought
Non-Infective Endocarditis ... Non-infective Endocarditis ... Pathophysiology: • Valves ... Underlying damage to valve ... of bacteria → Valve
Aortic and Mitral Valve Vegetations in Endocarditis on POCUS - PLAX Why would this 30 y/o male
Aortic and Mitral Valve ... Vegetations in Endocarditis ... aortic & mitral valves ... Aortic #Mitral #Valve ... #Vegetations #Endocarditis
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 HACEK is the acronym commonly used to describe and help doctors to remember a group of
cause infective endocarditis ... less than 3% of endocarditis ... More commonly endocarditis ... Streptococcus sp.), Enterococcus ... HACEK #Organisms #Endocarditis
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