18 results
Microorganisms Responsible for Infective Endocarditis

Native valves:
 - Streptococcus viridans 
 - Enterococci 
 - Other streptococci
Histoplasma) - Culture ... streptococci - Culture ... negative #Infective ... Pathogens #Diagnosis #Differential ... #InfectiousDiseases
Causes of blood culture negative infective endocarditis

Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
negative infective ... BCNIE #Causes #differential ... #negative #Endocarditis ... #InfectiousDiseases ... #CNIE #BCNIE #cardiology
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial ... larger right sided pericardial ... #Cardiac #pericardial ... Echocardiogram #ultrasound #Cardiology ... #A4c #clinical
Causes of Culture Negative Abscess - Differential Diagnosis Framework
Consider prior antibiotics as a cause of a
Causes of Culture ... Negative Abscess ... - Differential ... #Differential # ... Diagnosis #InfectiousDiseases
Coccidiomycosis - Diagnosis
Diagnosis:
 • Mildly elevated peripheral WBC, Eosinophilia (25%), Elevated ESR, Procalcitonin normal (95%)
 •
immunodiffusion test) • Culture ... (ElA may be negative ... 7 days to grow culture ... liver, pancreas, pericardium ... Diagnosis #workup #infectiousdiseases
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension

Blood Pressure = Heart Rate x
Hypotensive Patient - Differential ... Pulmonary embolism • Pericardial ... - Free wall rupture ... stenosis • Meds: negative ... #hypotensive #differential
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
Blood Culture-Negative ... remain negative ... #BloodCulture #Negative ... Endocarditis #diagnosis #differential ... #workup #infectiousdiseases
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemorrhagic Pericardial ... Hemopericardium)- Differential ... may have false negative ... Hemopericardium #Differential ... #Diagnosis #cardiology
Tuberculous Pericardial Effusion on POCUS Echocardiogram (S4C)
Here is an immunosuppressed patient with culture proven TB pericardial
Tuberculous Pericardial ... Echocardiogram (S4C ... immunosuppressed patient with culture ... Echocardiogram #S4C ... #clinical #cardiology
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... dissection - SCAD • Pericardium ... Obstruction - Rupture ... Pain #ChestPain #Differential ... Diagnosis #Causes #Cardiology