23 results
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
and Secondary Causes ... endocarditis, Myxomatous ... Left ventricular aneurysm ... #differential #diagnosis ... #cardiology #causes
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 ... Thoracic Aortic Aneurysms
Etiology of Splenic Infarction:
 • Hypercoagulability: Factor V Leiden, Antiphospholipid syndrome, Malignancy
 • Embolic disease: Atrial
fibrillation, PFO, Infective ... endocarditis ... Splenic artery aneurysm ... #differential #diagnosis ... #causes
Endocarditis Algorithm - Infective vs Noninfective Causes
Noninfective:
 • Malignancy
 • Autoimmune disease
 • Systemic infection
Native Valve
Endocarditis Algorithm ... Noninfective Causes ... • HACEK • Culture-negative ... #Noninfective #Causes ... #Differential #Diagnosis
Causes of blood culture negative infective endocarditis

Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
Causes of blood ... infective endocarditis ... #differential #diagnosis ... #causes #culture ... #negative #Endocarditis
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
Endocarditis (IE ... therapy - Number one cause ... of culture negative ... BloodCultures #Diagnosis ... #Management #Algorithm
Osler's Nodes in a patient with infective endocarditis

67yo presents with R occipital intraparenchymal hemorrhage (IPH) attributed
a patient with infective ... confirming our working diagnosis ... suspicion for ruptured ... mycotic cerebral aneurysm ... #Oslers #Node #infective
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
- Differential Diagnosis ... Infective Endocarditis ... Peripheral/Mycotic Aneurysm ... #Differential #Diagnosis ... #Orthopedics #Causes
Major Brain Complications of Endocarditis
Abscess:
 • May be macro or micro and occur at site of
Complications of Endocarditis ... fevers Mycotic aneurysm ... • Arise from infective ... devastating SAH if ruptured ... Ischemic stroke caused
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
for metastatic infection ... • Aggressive management ... metastatic foci of infection ... #criticalcare #diagnosis ... #management