14 results
Causes of blood culture negative infective endocarditis

Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
Causes of blood culture ... spp Although HACEK ... febrilepodcast] #BCNIE ... diagnosis #causes #culture ... #BCNIE #cardiology
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
Blood Culture-Negative ... separate blood cultures ... Legionella spp Although HACEK ... identified with modern culture ... - Standard culture
Achilles Tendon Rupture in Slow Motion

Caused by high speed knee extension with ankle dorsiflexion.

Dr. Boris Gojanovic
Achilles Tendon Rupture ... Motion Caused by high ... Achilles #Tendon #Rupture ... Sports #Mechanism #PhysicalExam
Complications Following Myocardial Infarction
Heart Failure - Ineffcient pumping of the heart.  Can be acute or
Associated with a high ... Papillary Muscle Rupture ... myocardial wall) rupture ... Infarction #Diagnosis #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
90% of IE cases Culture ... gallolyticus • HACEK ... staphylococci Culture ... • Blood cultures ... diagnosis #management #cardiology
Streptococcus Bacteremia - Indications for Echocardiogram
1) Identify the streptococci:
  - Low-risk streptococci: S. intermedius, S.
thermophilus - High-risk ... parasanguinis - Very high-risk ... positive blood culture ... TTE #diagnosis #cardiology
Quincke's Pulse in Severe Aortic Regurgitation

Little physical exam finding for the end of the week! Quinke’s
relate to the high ... AorticRegurgitation #Diagnosis #PhysicalExam ... Fingernails #Nailbed #Cardiology
Pelvis Insufficiency fractures
 - Back pain consistently one of the top three most common ER chief
- High morbidity ... injuries: bladder rupture ... Pelvic #diagnosis #radiology
Abnormal pulsation in the neck in the setting of Aortic Coarctation

10 yo male,  his father
noted abnormal high ... Neck #Pulsation #PhysicalExam ... Clinical #Video #Cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Microbiology: Blood cultures ... 90% of IE cases Culture ... gallolyticus, HACEK ... staphylococci Culture ... Differential #Diagnosis #cardiology