23 results
Conjunctival Petechiae: Conjunctival petechiae, in this case secondary to endocarditis.
Photo credit, Josh Fierer, M.D.

Charlie Goldberg, M.D.
petechiae, in this case ... secondary to endocarditis ... Photo credit, Josh ... Goldberg, M.D. - UCSD ... #UCSDH
Janeway Lesion: Flat, painless, erythematous lesions seen on the palm of this patient's hand. While
frequently associated
with bacterial endocarditis ... , in this case, ... Photo credit, Josh ... Goldberg, M.D. - UCSD ... #UCSDH
Causes of blood culture negative infective endocarditis

Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
culture negative ... infective endocarditis ... #culture #negative ... #Endocarditis # ... #CNIE #BCNIE #cardiology
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
with Infective Endocarditis ... (IE) Has Negative ... therapy - Number one cause ... Eg: C. burnetii ... #Infective #Endocarditis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Coagulase-negative ... Septic Emboli Cause ... ↑ ESR, CRP • EKG ... Treat underlying cause ... diagnosis #management #cardiology
Kyphosis: Anterior curvature of the spine, in this case caused by severe osteoporosis and resultant vertebral
caused by severe ... Goldberg, M.D. - UCSD ... Images #Clinical #Photo ... #Kyphosis #Radiology ... #CXR #Lateral #UCSDH
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
Blood Culture-Negative ... Infective Endocarditis ... but important causes ... special stains (e.g ... #Infective #Endocarditis
Embolic Phenomena: Purplish discoloration of skin resulting from embolus to small toe. In this case, the
In this case, the ... Goldberg, M.D. - UCSD ... Embolic #Vegetation #Endocarditis ... Janeway #Lesions #Photo ... #UCSDH
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... • Normal or negative ... level <100 pg/ml EKG ... : • Negative for ... differential #diagnosis #cardiology
Gynecomastia: Breast development in men, often related to relative increase in estrogen levels. In this case,
often related to relative ... In this case, ... Goldberg, M.D. - UCSD ... Images #Clinical #Photo ... #Gynecomastia #UCSDH