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diagnosis cardiology differential management bloodstream comparison crbsi evaluation infection infectiousdiseases infective marantic murmurs nbte noninfective perioperative preop preoperative risk stratification
Systolic Murmurs - Differential Diagnosis Algorithm Benign / Flow / Hyperdynamic: • Pregnancy • Fever • Anemia Supravalvular
Differential Diagnosis Algorithm ... • Rupture • Endocarditis ... Papillary Muscle Dysfunction ... Differential #Diagnosis #Algorithm ... #causes
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Clinical features: Fever ... lines/indwelling catheters ... Clinical features: Fever ... in up to 30% of cases ... Marantic #diagnosis #table
Suspected catheter-related bloodstream infection - Management Algorithm • Temperature 37.8 C • Rigors
infection - Management Algorithm ... • Persistent fever ... metastatic infection (endocarditis ... • Persistent fever ... infection #Management #Algorithm
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
substance use • IV catheter ... night sweats, fever ... Septic Emboli Cause ... Surgery: • Valvular dysfunction ... Persistent bacteremia/fevers
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
or family - Ever ... Performance thorough ... event, follow ACC algorithm ... with valvular dysfunction ... or LV dysfunction
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
substance use • IV catheter ... night sweats, fever ... Septic emboli cause ... Treat underlying cause ... Surgery: • Valvular dysfunction
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