Endocarditis Symptoms and Diagnosis

Рет қаралды 7,407

Күн бұрын

An infectious diseases physician explains clinical clues to the diagnosis of bacterial endocarditis, a devastating infection of the heart valves. Endocarditis is fatal if not recognized and treated in time, and it can be very difficult to diagnose early. Learn what symptoms, signs, findings in lab tests and imaging should make you suspect that your patient might have endocarditis. What you learn in this video will be very easy to memorize, and it will make a huge difference in practice!
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DISCLAIMER: Please, always keep in mind that my videos are intended for educational purposes only. The content of my videos is NOT medical advice. I do not practice medicine over the internet. If you are a patient and have any questions about your health, please talk to your doctor.
CHAPTERS:
00:00 simplified pathophysiology and microbiology of infective endocarditis
03:56 symptoms of acute endocarditis caused by S.aureus
05:31 septic emboli, Janeway lesions
06:43 symptoms of subacute endocarditis caused by Streptococci
08:30 most common metastatic infections
09:20 diagnostic tests for endocarditis
10:37 imaging, abscesses
11:06 bacteremia
12:25 predisposing conditions for endocarditis

Пікірлер: 16

@wendyhart134 2 ай бұрын

I had acute infected endocarditis caught it when i was in ICU in an iduced coma for something else. I developed severe pneumonia, staph aureas, then sepis. It destroyed my mitrial and aortic valves in a couple of weeks i went into heart faliure and my lungs filled with water. Im from the u.k so i had the valves replaced at Kings in London from bovine tissue.Septic shock is just horrific. Im so lucky to still be here. Its a silent killer, and it still terrifies me.

@kathleenb7463 11 ай бұрын

Best explanation I've heard. Thank you Dr. V

@celtic_siren Жыл бұрын

My father was diagnosed with this today. I hope and pray he will be fine😢

@doctormaged 2 жыл бұрын

THANKS DOCTOR WE GOT VERY GOOD INFO ABOUT ENDOCARDITIS GREETING FROM A COLUAGE FROM EGYPT

@ginsburgerheide 8 ай бұрын

Thank you❤️❤️❤️

@jimmersonnobles Жыл бұрын

great video

@syedwaqasshah5744 11 ай бұрын

Mater endocarditis with Dr. Najeeb kzfaq.info/get/bejne/ot-Zf8ah3ceWdok.html

@123rogersk 6 ай бұрын

Very interesting, I have repeated infections from staph type MRSA they say is in my nose. I am on antibiotic now but fear a relapse. Its effecting my heart. What do I do?

@clinicaltips8926 Жыл бұрын

I want to remind everyone that my videos are for educational purposes only. Of course, everyone is welcome to watch, but the information I present is most useful for junior doctors, nurses, and students. As I stated in the description of every video and on my channel homepage, none of this is medical advice for patients. I don't practice medicine over the internet. If you are a patient and have any questions about your health, please get in touch with your doctor.

@Persephone-t5b 4 ай бұрын

We come to videos like this when we were completely healthy with zero infection and was suddenly hospitalized for a month with 3 strokes on the right side of the brain from endocardiditis. The ID doctor said that he ran my blood culture for over 28 days hoping for something to grow so he could find out what caused it and nothing ever grew so he had no answers for me. I had no bad teeth, no skin infections, not a drug user, no other infections...nothing. Three years later and I still have no answers so I watch videos like this hoping that maybe some new information will be presented that will give me an "ah ha"...and always get little nuggets, but not new revelations for my specific cause. Thanks for sharing the video!

@antonm7191 4 ай бұрын

@@Persephone-t5bhey did you get it treated? How did they diagnose endocarditis if blood was negative, found vegetations on echo?

@Persephone-t5b 4 ай бұрын

@@antonm7191 They knew that my 3 strokes were caused by my heart because of where the strokes were located. Most test (including echo) were coming back normal, but the TEE caught the endocarditis. Since the initial 3 right brain strokes in August 2020, I had another left brain stroke in June 2022, two significant TIA's, and an ocular TIA blinding my right eye last October (2023). I had a TEE in 2022 that was reported to be "clear" of any new vegetation so no answers at all for my stroke or TIA's in 2022. That whole time my cardiologist told me that I was fine and it is not my heart. My neurologist ran everything on me and said it HAS to be my heart. They were at odds and I am not getting better. The TEE that was done in November of 2023 showed "suspicious for possible fibroelastoma", but no one said anything to me about that. I went to work a project in NYC (engineering tech) and have been getting progressively sick the last couple months with my limbs breaking out in petechiae and suffering from night sweats, etc. They have scheduled me for another TEE on Monday. We will see if the fibroelastoma is the source of my 3 1/2 years of hell! I did some reading on the subject and that seemed to be the only thing that I have seen in 3 years where most all of the symptoms fit.

@antonm7191 3 ай бұрын

@@Persephone-t5b Sorry for late reply, didn't get msg notification for some reason.. I'm confused, did TEE detect endo back in summer 2020 that they treated then it came back as a relapse? What symptoms did the strokes/TIAs gave you? Do you also have sustained fevers and weird flu like feeling that doesn't go away? Iirc there is an infection called "chronic q fever" that causes endocarditis but this particular pathogen doesn't grow on blood cultures but is confirmed by serology tests, did they test you for it?