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Osler Nodes in Infective Endocarditis

Dr. André Mansoor @AndreMansoor - Author of Frameworks for Internal Medicine https://amzn.to/2LmUODZ

#OslerNodes
Osler Nodes in Infective
Osler's Nodes in a patient with infective endocarditis

67yo presents with R occipital intraparenchymal hemorrhage (IPH) attributed
typically think of Osler ... NateWarnerMD #Oslers
Infective Endocarditis - Diagnosis and Management Summary
Pearls:
 - Consider non-infectious endocarditis in pts with cancer/SLE and
hemorrhages, and Osler
Hemoptysis - Differential Diagnosis Framework
Airways: 
 • Bronchitis
 • Bronchiectasis
 • Malignancy: Primary bronchogenic CA, Endobronchial
• AVMs such an Osler-Weber-Rendu
Osler Nodes - Painful tender lesions found in the toes of an active IVDU found to
Osler Nodes - Painful
Causes of Small Bowel Bleeding - Differential Diagnosis
Common Causes:
 • Under age 40 years: Inflammatory Bowel
Pseudoxanthoma elasticum, Osler-Weber-Rendu
Risk Factors Associated with Visceral Artery Aneurysms 
 - Atherosclerosis 
 - Pregnancy 
 - Portal
syndrome - Osler-Weber-Rendu
Pulmonary Arteriovenous Malformation (AVM) on Contrast Echocardiogram

Contrast echo, see outside the cardiac borders.
This was a case
was a case of Osler
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Immunologic: • Osler
Endocarditis - Diagnosis and Management Summary
What is it? Inflammation of endocardium, typically secondary to infection of
- Immunologic (Osler