21 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
Janeway Lesions in Endocarditis ... sister shared these photos ... Infective Endocarditis ... could have been diagnosed ... PhysicalExam #clinical #photo
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
- Differential Diagnosis ... • Rupture • Endocarditis ... • Prolapse • Endocarditis ... Systolic #Murmurs #Cardiology ... #Differential #Diagnosis
Relative Risk of Various Predisoosing Conditions for Infective Endocarditis 
High Risk:
 - Prosthetic valves 
 -
for Infective Endocarditis ... Previous infective endocarditis ... #Infective #Endocarditis ... #RiskFactors #Cardiology ... #Diagnosis #Differential
Osler's Nodes in a patient with infective endocarditis

67yo presents with R occipital intraparenchymal hemorrhage (IPH) attributed
with infective endocarditis ... confirming our working diagnosis ... of endocarditis ... phenomena due to endocarditis ... #clinical #photo
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
fever, Infective endocarditis ... fever, Infective endocarditis ... leak, Infective endocarditis ... #differential #diagnosis ... #cardiology #causes
Causes of blood culture negative infective endocarditis

Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
negative infective endocarditis ... #differential #diagnosis ... culture #negative #Endocarditis ... #CNIE #BCNIE #cardiology
Causes of Severe Aortic Regurgitation - Differential Diagnosis
Acute:
 • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
- Differential Diagnosis ... Acute Infective Endocarditis ... Infection: Infective Endocarditis ... #Differential #Diagnosis ... #Causes #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... Differential Diagnosis ... Diagnosis? ... #diagnosis #management ... #cardiology
Peripheral Signs of Aortic Regurgitation

Corrigan sign	Prominent carotid and supraclavicular pulsations
Alfred de Musset sign	Head nodding with heart
with heart beat Landolfi ... Insufficiency #Cardiology ... #Diagnosis
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
- Differential Diagnosis ... • Aortic Valve Endocarditis ... #differential #diagnosis ... #causes #cardiology