26 results
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... on POCUS Echocardiogram ... Here you see a vegetation ... #MitralValve #Endocarditis ... #POCUS #Echocardiogram
Causes of Thrombocytopenia - Differential Diagnosis Framework
Decreased Production:
 - Drugs (chemo, yang, sulfa, acetaminophen, NSAIDs, quinine,
Causes of Thrombocytopenia ... - Autoimmune: SLE ... - Mechanical: valve ... replacement, endocarditis ... Diagnosis #Framework #hematology
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
and Secondary Causes ... inflammation (SLE ... • Prosthetic valve ... Mitral annulus valve ... diagnosis #cardiology #causes
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
from Infective Endocarditis ... Non-Bacterial Thrombotic Endocarditis ... conditions: Autoimmune (SLE ... in up to 30% of cases ... #NonInfective #Endocarditis
Ruptured Chordae Tendineae on POCUS Echocardiogram
 
Many underlying causes, not limited to: MVP, subacute endocarditis, connective
Tendineae on POCUS Echocardiogram ... Many underlying causes ... MVP, subacute endocarditis ... for MR when you see ... Tendineae #POCUS #Echocardiogram
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... • Autoimmune (SLE ... • Petechiae Immunologic ... Septic Emboli Cause ... Treat underlying cause
Causes of Thrombocytopenia - Differential Diagnosis Algorithm
 
Decreased Megakaryopoiesis
 • Aplastic Anemia
 • Toxic Damage (e.g.
Causes of Thrombocytopenia ... Autoimmune • ITP • SLE ... Prosthetic Heart Valve ... Diagnosis #Algorithm #Causes ... #Hematology
Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary
 • Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
Erythematosus (SLE ... are evocative of SLE ... Cytopenia: Common • Immunologic ... Positive in 60-80% of cases ... Management #Summary #rheumatology
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 • Epidemiology: -10% of all lupus cases, drug-dependent,
10% of all lupus cases ... drug-dependent) • Immunologic ... Discontinuation of causal ... Cytopenia: Common • Immunologic ... comparison #table #rheumatology
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Systemic Lupus (SLE ... Pericarditis, Endocarditis ... , Aortic valve lesions ... Thrombocytopenia #Lupus #SLE ... symptoms #diagnosis #rheumatology