Non-bacterial thrombotic endocarditis differential diagnosis: Difference between revisions
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[[Non-bacterial thrombotic endocarditis]] must be differentiated from other [[diseases]] that cause a new or changed [[heart murmur]], multiple [[Systemic embolization|systemic emboli]], +/-[[fever]], such as [[infective endocarditis]], [[Valvular Diseases|degenerative valvular disease]], and [[Pulmonary embolism|pulmonary infarction]]. | [[Non-bacterial thrombotic endocarditis]] must be differentiated from other [[diseases]] that cause a new or changed [[heart murmur]], multiple [[Systemic embolization|systemic emboli]], +/-[[fever]], such as [[infective endocarditis]], [[Valvular Diseases|degenerative valvular disease]], and [[Pulmonary embolism|pulmonary infarction]]. | ||
==Differential Diagnosis== | |||
[[Non-bacterial thrombotic endocarditis]] must be differentiated from other [[diseases]] that cause a new or changed [[heart murmur]], multiple [[Systemic embolization|systemic emboli]], +/-[[fever]], such as;<ref name="urlLibman-Sacks Endocarditis Differential Diagnoses">{{cite web |url=https://emedicine.medscape.com/article/155230-differential |title=Libman-Sacks Endocarditis Differential Diagnoses |format= |work= |accessdate=}}</ref><ref name="urlNonbacterial Thrombotic Endocarditis: Clinicopathologic Study of a Necropsy Series | Revista Española de Cardiología (English Edition)">{{cite web |url=https://www.revespcardiol.org/en-nonbacterial-thrombotic-endocarditis-clinicopathologic-study-articulo-13106392 |title=Nonbacterial Thrombotic Endocarditis: Clinicopathologic Study of a Necropsy Series | Revista Española de Cardiología (English Edition) |format= |work= |accessdate=}}</ref><ref name="pmid3548296">{{cite journal |vauthors=Lopez JA, Ross RS, Fishbein MC, Siegel RJ |title=Nonbacterial thrombotic endocarditis: a review |journal=Am. Heart J. |volume=113 |issue=3 |pages=773–84 |date=March 1987 |pmid=3548296 |doi=10.1016/0002-8703(87)90719-8 |url=}}</ref><ref name="pmid15919332">{{cite journal |vauthors=Borowski A, Ghodsizad A, Cohnen M, Gams E |title=Recurrent embolism in the course of marantic endocarditis |journal=Ann. Thorac. Surg. |volume=79 |issue=6 |pages=2145–7 |date=June 2005 |pmid=15919332 |doi=10.1016/j.athoracsur.2003.12.024 |url=}}</ref><ref name="pmid16965557">{{cite journal |vauthors=Aryana A, Esterbrooks DJ, Morris PC |title=Nonbacterial thrombotic endocarditis with recurrent embolic events as manifestation of ovarian neoplasm |journal=J Gen Intern Med |volume=21 |issue=12 |pages=C12–5 |date=December 2006 |pmid=16965557 |pmc=1924740 |doi=10.1111/j.1525-1497.2006.00614.x |url=}}</ref><ref name="pmid11988602">{{cite journal |vauthors=Singhal AB, Topcuoglu MA, Buonanno FS |title=Acute ischemic stroke patterns in infective and nonbacterial thrombotic endocarditis: a diffusion-weighted magnetic resonance imaging study |journal=Stroke |volume=33 |issue=5 |pages=1267–73 |date=May 2002 |pmid=11988602 |doi=10.1161/01.str.0000015029.91577.36 |url=}}</ref>. | |||
*[[Infective endocarditis]], | |||
*[[Valvular Diseases|Degenerative valvular disease]], and | |||
*[[Pulmonary embolism|Pulmonary infarction]]. | |||
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Latest revision as of 19:11, 6 August 2020
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non-bacterial thrombotic endocarditis |
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Differentiating non-bacterial thrombotic endocarditis from other Diseases |
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Diagnosis |
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Treatment |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aisha Adigun, B.Sc., M.D.[2]
Overview
Non-bacterial thrombotic endocarditis must be differentiated from other diseases that cause a new or changed heart murmur, multiple systemic emboli, +/-fever, such as infective endocarditis, degenerative valvular disease, and pulmonary infarction.
Differential Diagnosis
Non-bacterial thrombotic endocarditis must be differentiated from other diseases that cause a new or changed heart murmur, multiple systemic emboli, +/-fever, such as;[1][2][3][4][5][6].
| Diseases | Diagnostic tests | Physical Examination | Symptoms | Past medical history | Other Findings | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CT scan and MRI | EKG | Chest X-ray | Tachypnea | Tachycardia | Fever | Chest Pain | Hemoptysis | Dyspnea on Exertion | Wheezing | Chest Tenderness | Nasalopharyngeal Ulceration | Carotid Bruit | |||
| Pulmonary embolism |
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✔ | ✔ | ✔ (Low grade) | ✔ | ✔ (In case of massive PE) | ✔ | - | - | - | - |
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| Infective Endocarditis | ✔ | ✔ | ✔ | - | - | ✔ | - | - | - | - |
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| Non-bacterial thrombotic endocarditis |
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✔ | ✔ | ✔ (Low grade) | ✔ (Relieved by sitting up and leaning forward) | - | ✔ | - | - | - | - |
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| Libman Sack Endocarditis |
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✔ | ✔ | ✔ | ✔ | - | ✔ | ✔ | - | - | - |
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| Vasculitis |
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✔ | ✔ | ✔ | ✔ | ✔ | ✔ | - | ✔ | ✔ | ✔ |
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| Fever of unknown origin (FUO) |
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✔ | ✔ | - | - | - | ✔ | ✔ | - | - | - |
|
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Differentiating [Disease name] from other Diseases
[Disease name] must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3].
OR
[Disease name] must be differentiated from [differential dx1], [differential dx2], and [differential dx3].
OR
As [disease name] manifests in a variety of clinical forms, differentiation must be established in accordance with the particular subtype. [Subtype name 1] must be differentiated from other diseases that cause [clinical feature 1], such as [differential dx1] and [differential dx2]. In contrast, [subtype name 2] must be differentiated from other diseases that cause [clinical feature 2], such as [differential dx3] and [differential dx4].
References
- ↑ "Libman-Sacks Endocarditis Differential Diagnoses".
- ↑ "Nonbacterial Thrombotic Endocarditis: Clinicopathologic Study of a Necropsy Series | Revista Española de Cardiología (English Edition)".
- ↑ Lopez JA, Ross RS, Fishbein MC, Siegel RJ (March 1987). "Nonbacterial thrombotic endocarditis: a review". Am. Heart J. 113 (3): 773–84. doi:10.1016/0002-8703(87)90719-8. PMID 3548296.
- ↑ Borowski A, Ghodsizad A, Cohnen M, Gams E (June 2005). "Recurrent embolism in the course of marantic endocarditis". Ann. Thorac. Surg. 79 (6): 2145–7. doi:10.1016/j.athoracsur.2003.12.024. PMID 15919332.
- ↑ Aryana A, Esterbrooks DJ, Morris PC (December 2006). "Nonbacterial thrombotic endocarditis with recurrent embolic events as manifestation of ovarian neoplasm". J Gen Intern Med. 21 (12): C12–5. doi:10.1111/j.1525-1497.2006.00614.x. PMC 1924740. PMID 16965557.
- ↑ Singhal AB, Topcuoglu MA, Buonanno FS (May 2002). "Acute ischemic stroke patterns in infective and nonbacterial thrombotic endocarditis: a diffusion-weighted magnetic resonance imaging study". Stroke. 33 (5): 1267–73. doi:10.1161/01.str.0000015029.91577.36. PMID 11988602.