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cardiology diagnosis regurgitation aortic clinical functional infectiousdiseases infective management mitralvalve pathophysiology plax pocus pressure primary pulse stenosis widened
What's the Dx? • 29-year-old male • Transfer community hospital • Hypotension • Renal failure • Altered mental status.
Clips 1 and 2 demonstrate ... a mobile mitral ... with a vegetation ... secondary to endocarditis ... Clinical #POCUS #Echocardiogram
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 Causes of Severe Aortic Regurgitation - Differential Diagnosis Acute: • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
Causes of Severe ... Regurgitation - Differential ... Acute Infective Endocarditis ... Acute Prosthetic Valve ... Valvuoplasty • Aorta
Causes of mitral stenosis Rheumatic heart disease - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... disease Infective endocarditis ... (vegetations)/tumor ... atrial myxoma)/ball valve ... #diagnosis #differential
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Involves aortic and mitral ... formation • Other vegetations ... Marantic (NTBE) Differential ... Substance use: R > L Tricuspid ... -mm left sided vegetations
Causes of Primary and Functional Mitral Regurgitation (MR) Causes of primary mitral regurgitation - Rheumatic heart
Causes of Primary ... Infective/marantic endocarditis ... Vegetations seen ... valve - Secondary ... #Functional #Differential
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology Pulse pressure is the difference between the systolic blood
sclerosis (both heart valve ... • Infective Endocarditis ... • Mitral Regurgitation ... • Mitral Stenosis ... Regurgitation) • Tricuspid
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential ... involves aortic and mitral ... Treat underlying cause ... substance use: R > L Tricuspid ... #Endocarditis #Differential
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