23 results
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
- Differential Diagnosis ... Pregnancy • Fever ... • Rheumatic Fever ... • Rheumatic Fever ... • Rheumatic Fever
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
Leaflet: Rheumatic fever ... tendineae: Rheumatic fever ... annulus: Rheumatic fever ... #differential #diagnosis ... #cardiology #causes
Endocarditis - Duke Criteria - Major and Minor

MAJOR CRITERIA: 
 - Persistently +ve blood culture for
Endocarditis - Duke ... - New valvular regurgitation ... drug use - Fever ... #Duke #Criteria ... #Major #Minor #Diagnosis
Mitral Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.

Dr. Robert Jones @RJonesSonoEM

#MitralValve
Mitral Valve Endocarditis ... on POCUS Echocardiogram ... presents with fever ... #POCUS #Echocardiogram ... #clinical #cardiology
Causes of Severe Aortic Regurgitation - Differential Diagnosis
Acute:
 • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
- Differential Diagnosis ... Acute Infective Endocarditis ... , Rheumatic Fever ... #Differential #Diagnosis ... #Causes #cardiology
Echocardiographic Findings of Acute Right Ventricular Strain
 - Increased RV:LV Size Ratio
 - Abnormal Septal Motion
Sign - Tricuspid Regurgitation ... - Elevated Pulmonary ... #RV #Strain #Echocardiogram ... #POCUS #diagnosis ... #POCUS
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Hyperthyroidism Fever ... • Rheumatic fever ... SLE, Rheumatic fever ... • New murmur, fever ... , Rheumatic fever
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
aortic and mitral regurgitation ... night sweats, fever ... Cerebral > Splenic, pulmonary ... Suspicion -> TEE • Duke ... #cardiology
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
involvement - Echocardiogram ... - New valvular regurgitation ... Predisposition • Fever ... febrilepodcast] #Duke ... #diagnosis #major
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... w/ septic pulmonary ... consultation • Valve regurgitation ... • Persistent fever ... #criticalcare #diagnosis