20 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 ... during ventricular systole
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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 ... Note the large systolic ... jugular venous wave caused ... #Lancisis #sign
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Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Systolic Murmurs ... Differential Diagnosis Algorithm ... Carcinoid #Systolic ... Differential #Diagnosis #Algorithm ... #causes
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 ... during ventricular systole ... #Lancisis #Sign
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Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
with Suspected Systemic ... cultures based on the Shapiro ... tract infection, endocarditis ... #Management #BloodCultures ... EmergencyDepartment #Protocol #Shapiro
Causes of Severe Aortic Regurgitation - Differential Diagnosis
Acute:
 • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
Causes of Severe ... Acute Infective Endocarditis ... Infection: Infective Endocarditis ... Degenerative: Systemic ... Differential #Diagnosis #Causes
Endocarditis Algorithm - Infective vs Noninfective Causes
Noninfective:
 • Malignancy
 • Autoimmune disease
 • Systemic infection
Native Valve
Endocarditis Algorithm ... vs Noninfective Causes ... Autoimmune disease • Systemic ... #Algorithm #Infective ... #Noninfective #Causes
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Vascular: • Systemic ... Treat underlying cause ... + Systemic anticoagulation ... Substance use: R > L Tricuspid ... #diagnosis #management
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
Pulse Pressure = Systolic ... Physiologic Causes ... Pathologic Causes ... • Infective Endocarditis ... Regurgitation) • Tricuspid
Nail Disorders secondary to Systemic Diseases
Nail Fold Abnormality
 • SLE
 • Scleroderma
 • Dermatomyositis
Koilonychia - Spoon-shaped
Disorders secondary to Systemic ... Grooves • Any systemic ... • Bacterial endocarditis ... Differential #Diagnosis #Algorithm ... #causes