16 results
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
Primary and Secondary ... Causes of Mitral ... Regurgitation Primary ... Left ventricular aneurysm ... diagnosis #cardiology #causes
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
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
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
• Malignancy: Primary ... regurgitation, Tricuspid endocarditis ... Thoracic aortic aneurysm ... Diagnosis #pulmonary #causes
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
Causes of Primary ... of primary mitral ... Infective/marantic endocarditis ... MV chordae may rupture ... #Primary #Functional
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
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
• Most common cause ... media • Important cause ... peritonitis, and endocarditis ... sinus • Sputum culture ... microbiology #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 ... infection (ex. urinary ... tract infection, endocarditis ... #Management #BloodCultures
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