23 results
Infective Endocarditis - Diagnosis and Management Summary
Pearls:
 - Consider non-infectious endocarditis in pts with cancer/SLE and
- Diagnosis and ... Management Summary ... - Classical signs ... lesions, splinter hemorrhages ... #Summary
Clinical Features of Infective Endocarditis

General 
 - Malaise 
 - Clubbing 

Cardiac 
 - Murmurs
Features of Infective Endocarditis ... nodes - Splinter haemorrhages ... #Infective #Endocarditis ... #Symptoms #Signs ... #PhysicalExam #Diagnosis
Endocarditis - Duke Criteria - Major and Minor

MAJOR CRITERIA: 
 - Persistently +ve blood culture for
Endocarditis - Duke ... organs / brain, hemorhages ... criteria #Endocarditis ... #Duke #Criteria ... #Major #Minor #Diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... aneurysm • Splinter hemorrhages ... Differential Diagnosis ... Diagnosis? ... Suspicion -> TEE • Duke
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
overdiuresis - Hemorrhage ... dysfunction - Endocarditis ... Comparison #Table #Diagnosis ... #Features #Signs
Osler's Nodes in a patient with infective endocarditis

67yo presents with R occipital intraparenchymal hemorrhage (IPH) attributed
with infective endocarditis ... intraparenchymal hemorrhage ... confirming our working diagnosis ... of endocarditis ... embolic phenomena due
Chronic Hypertensive Retinopathy: Pathogenesis and clinical findings

Ophthalmic Artery Hypertension
Stage 1: Mild/vasoconstrictive
 • Acute and chronic vasospasm
causes dot/blot hemorrhages ... retina and flame hemorrhages ... hypo-pigmented ring due ... ophthalmology #diagnosis ... #signs #symptoms
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management Summary ... Full Set of Vital Signs ... >7 - Non-hemorrhagic ... #Management #Summary
Endocarditis - Diagnosis and Management Summary
What is it? Inflammation of endocardium, typically secondary to infection of
Endocarditis - Diagnosis ... and Management Summary ... lesions, splinter hemorrhages ... : Duke Criteria ... #Diagnosis #Summary
Polycythemia Vera (PV) - Diagnosis and Management Summary
Diagnostic Criteria:
 • Elevated hemoglobin and/or hematocrit AND
 •
and Management Summary ... Diagnostic Criteria ... present, symptoms, signs ... ), Thrombosis, Hemorrhage ... #Management #Summary