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diagnosis algorithm infectiousdiseases negative regurgitation bcnie criticalcare mitral primary aortic bloodculture bloodcultures cardiomyopathy checklist chest chestpain classification cnie functional hemorrhage
Primary and Secondary Causes of Mitral Regurgitation Primary (organic) chronic mitral regurgitation: • Leaflet: Rheumatic fever, Infective
), Spontaneous rupture ... infarction, Tendineae rupture ... Papillary muscle rupture ... Regurgitation #differential ... #diagnosis #cardiology
Causes of blood culture negative infective endocarditis Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
culture negative ... infective endocarditis ... identified with modern culture ... #differential # ... #culture #negative
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
• Additional culture ... for metastatic infection ... heart failure • Myocardial ... Obtain single blood culture ... • Aggressive management
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures - Did they receive antibiotics prior
My Patient with Infective ... Endocarditis (IE ... therapy - Number one cause ... of culture negative ... BloodCultures #Diagnosis #Management
Endocarditis Algorithm - Infective vs Noninfective Causes Noninfective: • Malignancy • Autoimmune disease • Systemic infection Native Valve
Endocarditis Algorithm ... Noninfective Causes ... • HACEK • Culture-negative ... #Noninfective #Causes ... #Differential #
Causes of Severe Aortic Regurgitation - Differential Diagnosis Acute: • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
Causes of Severe ... Leaflet: Traumatic Rupture ... Endocarditis, Acute ... : Infective Endocarditis ... #cardiology
Systolic Murmurs - Differential Diagnosis Algorithm Benign / Flow / Hyperdynamic: • Pregnancy • Fever • Anemia Supravalvular
Systolic Murmurs - Differential ... Chordae Tendinae • Rupture ... • Infarct • Rupture ... Systolic #Murmurs #Cardiology ... Diagnosis #Algorithm #causes
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 ... identified with modern culture ... - Standard culture
Chest Pain - Differential Diagnosis Framework Cardiovascular Causes of Chest Pain: • Myocardium: - Myocarditis - CAD/ACS - Valvulopathy - Myopericarditis
Chest Pain - Differential ... Chest Pain: • Myocardium ... Obstruction - Rupture ... Pain #ChestPain #Differential ... #Cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Culture (+): ... staphylococci Culture ... Marantic (NTBE) Differential ... #diagnosis #management ... #cardiology
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