22 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,
Thrombocytopenia - Differential ... - Autoimmune: SLE ... - Mechanical: valve ... replacement, endocarditis ... Diagnosis #Framework #hematology
Non-Infective Endocarditis (NBTE / Marantic Endocarditis)
Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
patients with SLE ... the surface of valve ... left-sided heart valves ... embolize • Cannot differentiate ... absent How can we differentiate
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
fever, Infective endocarditis ... inflammation (SLE ... • Prosthetic valve ... Mitral annulus valve ... Regurgitation #differential
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
Causes of Thrombocytopenia - Differential Diagnosis Algorithm
 
Decreased Megakaryopoiesis
 • Aplastic Anemia
 • Toxic Damage (e.g.
Thrombocytopenia - Differential ... Autoimmune • ITP • SLE ... Prosthetic Heart Valve ... Thrombocytopenia #Differential ... Algorithm #Causes #Hematology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... • Autoimmune (SLE ... Influenza Prosthetic Valve ... • Petechiae Immunologic ... Marantic (NTBE) Differential
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
retinal exudates) - SLE ... Subacute bacterial endocarditis ... fever - Bacterial endocarditis ... #joint #pain #differential ... #diagnosis #rheumatology
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... syndrome • Aortic Valve ... Endocarditis + ... • Post cardiac/Valve ... Autoimmune: • SLE
Purpura - Differential Diagnosis Framework

Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
Purpura - Differential ... Splenomegaly - CTD (SLE ... Associated - SLE ... • Bacterial endocarditis ... #rheumatology #