13 results
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
Lancisi’s Sign in ... Severe Tricuspid ... It is caused by ... valve during ventricular ... #PhysicalExam #Clinical
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Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
Lancisi’s Sign in ... It is caused by ... valve during ventricular ... #Lancisis #Sign ... #PhysicalExam #Clinical
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Non-Infective Endocarditis (NBTE / Marantic Endocarditis)
Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
Non-Infective Endocarditis ... Endocarditis) Non-infective ... , Marantic endocarditis ... the surface of valve ... high index of clinical
Causes of Severe Aortic Regurgitation - Differential Diagnosis
Acute:
 • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
Causes of Severe ... Endocarditis, Acute ... Prosthetic Valve ... : Infective Endocarditis ... Degeneration, Prosthetic Valve
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Differentiating NBTE from Infective ... high index of clinical ... in up to 30% of cases ... #comparison #infective ... #NBTE #Marantic
Endocarditis Algorithm - Infective vs Noninfective Causes
Noninfective:
 • Malignancy
 • Autoimmune disease
 • Systemic infection
Native Valve
Endocarditis Algorithm ... Noninfective Causes ... amzn.to/2LmUODZ #Endocarditis ... #Algorithm #Infective ... #Noninfective #Causes
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... Influenza Prosthetic Valve ... Septic Emboli Cause ... Treat underlying cause ... Substance use: R > L Tricuspid
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
• Prosthetic valve ... • Prosthetic Valve ... Septic emboli cause ... Treat underlying cause ... substance use: R > L Tricuspid
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
Endocarditis (BCNIE ... antimicrobials, clinical ... but important causes ... ) of explanted valve ... #Endocarditis #
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
Causes of Primary ... Regurgitation (MR) Causes ... mitral stenosis - Infective ... /marantic endocarditis ... parachute mitral valve