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46 Possible Causes for Acute Bacterial Endocarditis, Pansystolic Murmur

  • Ventricular Septal Defect

    Small lesions with minimal shunting may be asymptomatic, however may have a loud harsh pansystolic murmur heard on precordial ausculation over the left sternal border 10 .[radiopaedia.org] Ventricular septal defect-functional types Small-Medium Left Right Shunts w/o Pulmonary HTN Acyanotic, asymptomatic, grade II-IV/VI pansystolic murmur Management May resolve[medical-dictionary.thefreedictionary.com] In addition to a pansystolic murmur, there may also be a mid/end diastolic murmur mimicking mitral stenosis as well as an ejection systolic murmur mimicking aortic stenosis[radiopaedia.org]

  • Rheumatic Fever

    We present a case of recurrent acute rheumatic fever in a patient who was initially thought to be suffering from acute bacterial endocarditis on her previously diseased rheumatic[ncbi.nlm.nih.gov] Heart sounds are tachycardic with a pansystolic murmur 3/6 heard at apex with radiation to axilla.[dx.doi.org] murmur or early diastolic murmur at base of heart) Subcutaneous nodules (strong association with carditis) Erythema marginatum§ (bright pink macules or papules on extremities[racgp.org.au]

  • Mitral Valve Disease

    The pansystolic murmur of MR is frequently very soft, and its intensity is unrelated to the severity of the disease.[academic.oup.com]

  • Large Ventricular Septal Defect

    Ventricular septal defect-functional types Small-Medium Left Right Shunts w/o Pulmonary HTN Acyanotic, asymptomatic, grade II-IV/VI pansystolic murmur Management May resolve[medical-dictionary.thefreedictionary.com] Classically, a VSD causes a pathognomonic holo- or pansystolic murmur . Auscultation is generally considered sufficient for detecting a significant VSD.[en.wikipedia.org] A grade 2 to 5/6 systolic murmur is audible at the lower left sternal border. It may be pansystolic or early systolic.[patient.info]

  • Mitral Valve Insufficiency

    Mitral valvuloplasty during the acute phase of endocarditis. Arch Mal Coeur Vaiss 1993; 86 :197-201 [ PubMed ] 102. Hendren WG, Morris AS, Rosenkranz ER, et al.[ncbi.nlm.nih.gov] Clinical examination classically reveals a volume loaded (‘thrusting’) apex beat and a pansystolic (holosystolic) murmur that is heard on praecordial auscultation 1,2 .[radiopaedia.org] The murmur caused by mitral regurgitation is best heard at the apex and radiates towards the axilla and subscapular area.[symptoma.com]

  • Endocarditis

    The course of acute bacterial endocarditis is very rapid. Subacute bacterial endocarditis progresses more slowly than acute bacterial endocarditis.[rarediseases.org] Physical exam also reveals the markings along the cubital fossa as shown in Figure A and a low frequency pansystolic murmur best heard on the lower left sternal border.[step1.medbullets.com] Janeway lesions are seen in people with acute bacterial endocarditis. They appear as flat, painless, red to bluish-red spots on the palms and soles.[mountsinai.org]

  • Acyanotic Congenital Heart Disease

    murmur LLSE ECG: normal (smaller VSD) or LVH RVH (larger VSD) 8 VSD’s Larger defect: MDM @ apex (mitral flow murmur) narrowly split S2 and loud P2 S3 CXR: cardiomegaly increased[slideplayer.com] (soft), upper left sternal edge -Partial AVSD – apical pansystolic murmur from AV valve regurge.[slideshare.net] Exam (smaller VSD) pink normal pulses normal S1 and S2 systolic thrill harsh pansystolic murmur LLSE ? ECG normal (smaller VSD) or LVH RVH (larger VSD) 8 VSDs ?[powershow.com]

  • Ventricular Aneurysm

    Differential diagnosis of acute bacterial endocarditis was also kept. Laboratory parameters revealed that her Hb was 10.1 and ESR was 50.[mjdrdypu.org] There may be an apical pansystolic murmur due to the LV wall anatomical distortion, and also from mitral regurgitation , if present. References Mann, Douglas (2015).[wikidoc.org] Present with a new systolic ejection murmur heard best at the left upper sternal border, with radiation to the neck and a new pansystolic murmur at the apex, with radiation[patient.info]

  • Infective Endocarditis

    The course of acute bacterial endocarditis is very rapid. Subacute bacterial endocarditis progresses more slowly than acute bacterial endocarditis.[rarediseases.org] On examination: his temperature 41 C, there was clubbing of the fingers bilaterally and a pansystolic murmur in the left parasternal area.[ncbi.nlm.nih.gov] Acute bacterial endocarditis usually begins suddenly with a high fever, fast heart rate, fatigue, and rapid and extensive heart valve damage.[merckmanuals.com]

  • Acute Bacterial Endocarditis

    The most frequent bacterial etiologic agents of acute endocarditis are enterococci.[symptoma.com] Physical exam also reveals the markings along the cubital fossa as shown in Figure A and a low frequency pansystolic murmur best heard on the lower left sternal border.[medbullets.com] Acute bacterial endocarditis is commonly caused by Staphylococcus aureus.[ncbi.nlm.nih.gov]

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