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Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Blood cultures are positive ... nodes • Roth’s spots ... Diagnosis? ... #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... , verrucous) - Lung ... Blood cultures are positive ... cases Culture Positive ... nodes • Roth’s spots
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Inhalation of spores ... osteoarticular, pulmonary, ocular ... change in the lungs ... arthritis, and endocarditis ... infection have positive
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... Pertinent positives ... #Radiology #CTChest ... #Lung #Pulmonary
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
of the ECG to focus ... Epsilon #clinical #diagnosis ... waves are small positive ... This includes long ... #cardiology #differential