48 results
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Pregnancy • Fever ... • Rheumatic Fever ... • Rheumatic Fever ... • Rheumatic Fever ... Diagnosis #Algorithm #causes
Causes of Severe Aortic Regurgitation - Differential Diagnosis
Acute:
 • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
Causes of Severe ... Acute Infective Endocarditis ... Infection: Infective Endocarditis ... , Rheumatic Fever ... #cardiology
Aortic Valve Endocarditis on POCUS Echocardiogram (PLAX)
50 yo female presents with fever & flu-like symptoms.
Aortic Valve Endocarditis ... presents with fever ... Blood Cx grew staph ... #PLAX #clinical ... #ultrasound #cardiology
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
most common) Clinical ... to rnonths • Fever ... , hemoptysis Treatment ... Abscess #Diagnosis #Pulmonary ... #Clinical #CXR
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Valve Endocarditis ... Diptheria • Typhoid fever ... Acute rheumatic fever ... Psittacosis • Q fever ... • Yellow fever
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
most frequently caused ... The other cause ... cough and some fever ... #Clinical #Radiology ... #CXR #Acute #Interstitial
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... and other non-pulmonary ... with cough and fever ... Pulmonary hemorrhage ... #Radiology #CXR
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... night sweats, fever ... Cerebral > Splenic, pulmonary ... block, annular or aortic ... Persistent bacteremia/fevers
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
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... features: Fever ... features: Fever ... in up to 30% of cases ... dysfunction common, Aortic