16 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 ... Lancisi’s sign is ... It is caused by ... #PhysicalExam #
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Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... Severe Tricuspid ... jugular venous wave caused ... #Lancisis #sign ... #PhysicalExam #
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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 ... Severe Tricuspid ... It is caused by ... #Lancisis #Sign ... #PhysicalExam #
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Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Differential Diagnosis Algorithm ... • Rupture • Endocarditis ... Hypertension Tricuspid ... Differential #Diagnosis #Algorithm ... #causes
Endocarditis Algorithm - Infective vs Noninfective Causes
Noninfective:
 • Malignancy
 • Autoimmune disease
 • Systemic infection
Native Valve
Endocarditis Algorithm ... vs Noninfective Causes ... amzn.to/2LmUODZ #Endocarditis ... #Algorithm #Infective ... #Noninfective #Causes
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
with Infective Endocarditis ... therapy - Number one cause ... #Infective #Endocarditis ... #Diagnosis #Management ... #Algorithm
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Maneuvers An algorithm ... TR, tricuspid regurgitation ... depending on the relative ... Heart #Cardiology #PhysicalExam
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Coagulase-negative ... Septic Emboli Cause ... Treat underlying cause ... Substance use: R > L Tricuspid ... #diagnosis #management
Rapidly Progressive Glomerulonephritis (RPGN)
RPGN has three primary pathophysiologic causes differentiated by immunofluorescence

Immune Complex Mediated (granular staining):
pathophysiologic causes ... Cryoglobulinemia, Endocarditis ... Pauci-immune mediated (Negative ... differential #diagnosis #algorithm
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
Alpha-hemolytic, Catalase Negative ... • Most common cause ... media • Important cause ... peritonitis, and endocarditis ... microbiology #diagnosis #management