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diagnosis causes microbiology mitral primary regurgitation ascites bcnie canimorsus capnocytophaga cardiomyopathy cnie functional fungal hepatology infections mycoses negative paracentesis peripartum
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,
Causes of blood culture ... identified with modern culture ... diagnosis #causes #culture ... #InfectiousDiseases ... #CNIE #BCNIE #cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
90% of IE cases Culture ... staphylococci Culture ... Marantic (NTBE) Differential ... #diagnosis #management ... #cardiology
Capnocytophaga Pathogen: Capnocytophaga • 9 species, C. canimorsus responsible for the majority of infections • Gram-negative rod,
13%), Pneumonia, Endocarditis ... microorganism (Culture ... microbiology #zoonotic #infectiousdiseases ... #diagnosis #management ... #treatment
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
90% of IE cases Culture ... staphylococci Culture ... hematuria, + RF Treatment ... Diagnosis #cardiology ... #infectiousdiseases
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Diagnosis and Management ... : cell count + differential ... albumin, protein, culture ... 250 cells • Secondary ... appropriate patient selection
Causes of Primary and Functional Mitral Regurgitation (MR) Causes of primary mitral regurgitation - Rheumatic heart
Infective/marantic endocarditis ... MV chordae may rupture ... mitral valve - Secondary ... laterally from myocardial ... #Diagnosis #Cardiology
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... heart disease • Myocardial ... recommend against future ... • During a future ... #cardiology #treatment
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
• Confirmed by culture ... Diagnosis: • Culture ... arthritis, and endocarditis ... ) #Mycoses #InfectiousDiseases ... Fungal #Diagnosis #Management
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