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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
TISSUE APPEARANCES ON 
MUSCULOSKELETAL ULTRASOUND 

Bone:
 
Bone is represented as a very bright structure and appears
TISSUE APPEARANCES ... has an anechoic appearance ... anechoic or black appearance ... #TISSUE #APPEARANCES
Bone Lesion on X-Ray - Differential Diagnosis Algorithm 
Exostotic
 • Osteochondroma
Asymptomatic &/or Non-Active Bone Scam
 •
Inflammatory Appearance ... Osteoma ("Nidus" appearance ... or sclerotic in appearance ... Not Inflammatory Appearance ... ("Soap Bubble" appearance
PV Card: Pediatric Assessment Triangle

#Diagnosis #Peds #Pediatrics #Assessment #Triangle #Appearance #Breathing #Circulation #TICLS #Mnemonic
Assessment #Triangle #Appearance
Retinal Detachment

Floaters - Cobweb appearance 
Photopsia - Flash of light 
Visual field defect - Flash of
Floaters - Cobweb appearance
Cerebrospinal Fluid (CSF) Interpretation
Appearance - Opening Pressure - Leukocytes - Differential - Glucose - Protein -
Interpretation Appearance
Stress Dose Steroids - Indications and Dosing

SUPPRESSED HPA AXIS:
 prednisone >20mg/day x 3 weeks or more
OR Cushingoid appearance