33 results
Clinical Features of Infective Endocarditis

General 
 - Malaise 
 - Clubbing 

Cardiac 
 - Murmurs
Clinical Features ... Murmurs - Cardiac failure ... #Symptoms #Signs ... #Features #PhysicalExam ... #Diagnosis
Sarcoidosis 
Non-caseating granulomas (Composed of T-helper & inflammatory cells) 
Clinical:
 • Disease fatal in 10% of
inflammatory cells) Clinical ... exertion • Neurologic ... • Cardiac: Heart ... failure, dysrhythmias ... #Symptoms #Signs
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... high index of clinical ... embolism +++, Heart ... failure -(rare) ... failure ++, Valve
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... Abnormal ECG, echocardiogram ... failure • Elevated ... failure therapy
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
- Differential Diagnosis ... Infectious • Endocarditis ... • Congestive Heart ... Obstructive Pulmonary ... Disease Neurologic
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
w/ septic pulmonary ... fistula causing heart ... failure • Myocardial ... #criticalcare #diagnosis ... #management
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
failure syndrome ... cardiomyopathy, massive pulmonary ... failure. ... #PhysicalExam # ... Video #Clinical
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
What’s the diagnosis ... biventeicular failure ... inability of the right heart ... #physicalexam # ... clinical #video
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Failure • Dyspnea ... Cerebral > Splenic, pulmonary ... Diagnosis? ... failure • Left ... #diagnosis #management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Heart failure with ... Fraction (HFrEF) Clinical ... failure). ... un lymphatic Diagnostic ... #management #cardiology