14 results
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Differential Diagnosis Algorithm ... • Rupture • Endocarditis ... Hypertension Tricuspid ... Differential #Diagnosis #Algorithm ... #causes
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Septic Emboli Cause ... Criteria • ↑ ESR ... Treat underlying cause ... Substance use: R > L Tricuspid ... #diagnosis #management
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
with Infective Endocarditis ... Decreased yield due ... therapy - Number one cause ... BloodCultures #Diagnosis #Management ... #Algorithm
Endocarditis - Diagnosis and Management Summary
What is it? Inflammation of endocardium, typically secondary to infection of
and Management ... Aortic valve (tricuspid ... spots) Diagnosis: Duke ... Criteria (2 Major ... #criteria
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
Algorithm Source ... who meet SIRS criteria ... tract infection, endocarditis ... #Management #BloodCultures ... #Indications #Criteria
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
other obvious causes ... PPHTN • Peak tricuspid ... diagnosis Diagnostic criteria ... - Mechanism: causes ... Hypertension #diagnosis #management
Whipple Disease (Tropheryma whipplei) - Diagnosis and Management 

Caused by: Tropheryma whipplei

Symptoms and Signs:
1. Migratory poly/oligoarthralgia
Diagnosis and Management ... Caused by: ... Diagnostic Criteria ... Disease #diagnosis #algorithm ... #management #criteria
The algorithm below shows how pre-test probability could be combined with various criteria to determine which
combined with various criteria ... negative Reller Criteria ... negative Bouza Criteria ... HSV PCR would cause ... is proposed: #Management
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Septic emboli cause ... Suspicion → TEE • Duke ... Criteria • ↑ ESR ... Treat underlying cause ... substance use: R > L Tricuspid
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
tissue damage due ... GAS in 30% of cases ... fasc Diagnostic Criteria ... STSS #treatment #management