2017 results
Non-Infective Endocarditis - Pathophysiology
Non-infective Endocarditis Pathophysiology:
 • Valves usually undamaged - Etiology poorly understood but thought
Non-Infective Endocarditis ... Non-infective Endocarditis ... Carcinomatosis → Hypercoagulable ... rare Infective Endocarditis ... #NonInfective #Endocarditis
Stroke Etiologies
Hemorrhagic (IPH, SAH)
Ischemic
 - Large Vessel Atherosclerosis
 - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
, LV aneurysm, Endocarditis ... - Cryptogenic: Hypercoagulable
Recurrent / Breakthrough DVT During Anticoagulation

Subtherapeutic Anticoagulation
Hypercoagulable State 
 - Antithrombin deficiency 
 - Hypercoagulability ot
Anticoagulation Hypercoagulable ... #differential #algorithm
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
Approach to the Hypercoagulable ... EricsMedicalLectures/ #Hypercoagulable ... hematology #diagnosis #algorithm
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Differential Diagnosis Algorithm ... cardiomyopathy • Endocarditis ... • Rupture • Endocarditis ... • Prolapse • Endocarditis ... Differential #Diagnosis #Algorithm
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
from Infective Endocarditis ... Non-Bacterial Thrombotic Endocarditis ... ), Malignancy, Hypercoagulable ... Features of Infective Endocarditis ... #NonInfective #Endocarditis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... Atrial myxoma • Hypercoagulable ... Prosthetic Valve Endocarditis ... tumor embolism Endocarditis ... #Endocarditis
Algorithm for Diagnosis of the Petechial / Purpuric Rash

Febrile/Toxic, Palpable: 
 - Meningococcaemia, Disseminated Gonococcal Infection,
Algorithm for Diagnosis ... Gonococcal Infection, Endocarditis ... Purpura #Rash #Algorithm
Endocarditis Algorithm - Infective vs Noninfective Causes
Noninfective:
 • Malignancy
 • Autoimmune disease
 • Systemic infection
Native Valve
Endocarditis Algorithm ... amzn.to/2LmUODZ #Endocarditis ... #Algorithm #Infective
Endocarditis - Organisms
#Diagnosis #InfectiousDiseases #Endocarditis #HACEK #Typical #Organisms
Endocarditis - Organisms ... InfectiousDiseases #Endocarditis