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diagnosis infectiousdiseases infective microbiology primary regurgitation bcnie bloodcultures cardiomyopathy chf clinical cnie cns criticalcare encephalitis foamed functional heartfailure hypotension hypotensive
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 ... identified with modern culture ... #differential # ... #culture #negative ... #CNIE #BCNIE #cardiology
Systolic Murmurs - Differential Diagnosis Algorithm Benign / Flow / Hyperdynamic: • Pregnancy • Fever • Anemia Supravalvular
Diagnosis Algorithm ... Chordae Tendinae • Rupture ... • Infarct • Rupture ... Systolic #Murmurs #Cardiology ... #causes
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures - Did they receive antibiotics prior
with Infective Endocarditis ... therapy - Number one cause ... of culture negative ... #Diagnosis #Management ... #Algorithm
Endocarditis Algorithm - Infective vs Noninfective Causes Noninfective: • Malignancy • Autoimmune disease • Systemic infection Native Valve
Endocarditis Algorithm ... vs Noninfective Causes ... • HACEK • Culture-negative ... #Noninfective #Causes ... #Differential #
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension Blood Pressure = Heart Rate x
dysfunction - Myocardial ... - Free wall rupture ... Papillary muscle rupture ... • Acute mitral ... #diagnosis #causes
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Involves aortic and mitral ... Culture (+): ... • Coagulase-negative ... staphylococci Culture ... #cardiology
Streptocccus Pneumoniae Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative Epidemiology - 10% adult carriers: • Most common cause of:
Alpha-hemolytic, Catalase Negative ... • Most common cause ... sinus • Sputum culture ... Specificity of 97%) Treatment ... microbiology #diagnosis #management
Causes of Primary and Functional Mitral Regurgitation (MR) Causes of primary mitral regurgitation - Rheumatic heart
Infective/marantic endocarditis ... MV chordae may rupture ... laterally from myocardial ... #Functional #Differential ... #Diagnosis #Cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
involves aortic and mitral ... Culture Positive ... staphylococci Culture ... hematuria, + RF Treatment ... Diagnosis #cardiology
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