4327 results
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Pre-existing valvular disease ... Congenital heart disease ... fever • Malaise, fatigue ... • Metastatic disease ... diagnosis #management #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
noctumal dyspnea, fatigue ... coronary artery disease ... diagnosis #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Pre-existing valvular disease ... Congenital heart disease ... fever, Malaise, fatigue ... • Metastatic disease ... Differential #Diagnosis #cardiology
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Fatigue and IBD ... patients have fatigue ... despite disease ... 20% w/ improved fatigue ... Waseem_AhmedMD #Fatigue
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
cholestasis: - Fatigue ... Pregnancy - Renal disease ... granulamatous disease ... - Infiltrative diseases ... Other biliary diseases
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue ... Obstructive Pulmonary Disease ... Idiopathic • Chronic Fatigue ... Syndrome #Chronic #Fatigue
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
• Weight loss, fatigue ... underlying lung disease ... of cancer, lung disease
Pulmonary Hypertension Groups - WHO Classification
Group I - Vascular remodeling of pulmonary arteries
 • Idiopathic, HIV,
Left-sided heart disease ... , aortic valve disease ... , mitral valve disease ... worsens dyspnea, fatigue ... limited by dyspnea, fatigue
Sarcoidosis 
Non-caseating granulomas (Composed of T-helper & inflammatory cells) 
Clinical:
 • Disease fatal in 10% of
Clinical: • Disease ... Constitutional: Fever, fatigue
Dancing Carotids - Corrigan's Pulse in severe Aortic Regurgitation on Physical Exam

Patient referred for palpitations and
palpitations and fatigue ... #video #neck #cardiology