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cardiology causes regurgitation artery clinical coronary criteria embolism erythematosus functional infectiousdiseases infective lupus management mitralvalve plax pocus rheumatology scoring secondary
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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 Primary and Secondary Causes of Mitral Regurgitation Primary (organic) chronic mitral regurgitation: • Leaflet: Rheumatic fever, Infective
Primary and Secondary ... • Prosthetic valve ... annulus valve: ... Regurgitation #differential ... #diagnosis #cardiology
Causes of Primary and Functional Mitral Regurgitation (MR) Causes of primary mitral regurgitation - Rheumatic heart
Infective/marantic endocarditis ... Vegetations seen ... valve - Secondary ... #Functional #Differential ... #Diagnosis #Cardiology
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Direct: Clot (LV ... (Vegetation, Thrombus ... cardiac surgery, endocarditis ... Artery #Embolism #diagnosis ... #differential #
Causes of mitral stenosis Rheumatic heart disease - Most common cause worldwide. Commissural fusion, thick MV leaflets
disease Infective endocarditis ... (vegetations)/tumor ... atrial myxoma)/ball valve ... stenosis #Causes #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 ... -mm left sided vegetations ... #Endocarditis #diagnosis
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential ... involves aortic and mitral ... formation • Other vegetations ... -mm left sided vegetations ... #Endocarditis #Differential
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... the context of primary ... • Libman-Sacks endocarditis ... Cytopenias • Cardiac valve ... vegetations APLA
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