11 results
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
and Secondary Causes ... fever, Infective endocarditis ... ), Spontaneous rupture ... Left ventricular aneurysm ... diagnosis #cardiology #causes
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
Streptocccus Pneumoniae ... • Most common cause ... media • Important cause ... sinus • Sputum culture ... microbiology #diagnosis #management
Causes of Severe Aortic Regurgitation - Differential Diagnosis
Acute:
 • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
Causes of Severe ... Leaflet: Traumatic Rupture ... Acute Infective Endocarditis ... Infection: Infective Endocarditis ... Thoracic Aortic Aneurysms
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
of organizing pneumonia ... Unknown • 6-7 cases ... : blood culture, ... sputum culture, ... ILD #diagnosis #management
Major Brain Complications of Endocarditis
Abscess:
 • May be macro or micro and occur at site of
Complications of Endocarditis ... fevers Mycotic aneurysm ... devastating SAH if ruptured ... Ischemic stroke caused ... caseyalbin #endocarditis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Culture (+): ... lesions • Mycotic aneurysm ... Septic Emboli Cause ... Treat underlying cause ... #diagnosis #management
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 ... #Infective #Endocarditis ... BloodCultures #Diagnosis #Management
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
Blood Culture Collection ... Implementation-of-an-evidence-based-algorithm-reduces-blood-culture-overuse-in-an-adult-emergency-department.php ... tract infection, endocarditis ... , or pneumonia) ... #Management #BloodCultures
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
Meningitis (13%), Pneumonia ... , Endocarditis, ... microorganism (Culture ... infectiousdiseases #diagnosis #management
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Endocarditis - Overview ... Culture Positive ... lesions • Mycotic aneurysm ... Septic emboli cause ... Treat underlying cause