Splenic Infarct, Atrial Fibrillation

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Clinical course Patient admitted to the hospital, placed on broad spectrum antibiotics (cefepime and vancomycin), and pain controlled with IV opiods. On hospital day 3, his abdominal pain continued and he remained febrile. Serial blood cultures remained negative. Rheumatologic studies were unremarkable. CMV and EBV studies still pending. Hypercoaguable studies were either negative or pending. Despite negative blood cultures, consideration was given to echocardiography to evaluate for endocarditis.
Modified Duke Criteria for the Diagnosis of Infective Endocarditis. Mylonakis E, Calderwood SB. N Engl J Med 2001;345:1318-1330.
Page 1 and 2: Morning report Resident: Bijan Ghas
Page 3 and 4: MKSAP A 43-year-old man is evaluate
Page 5 and 6: MKSAP Which of the following is the
Page 7 and 8: MKSAP Because a bicuspid valve is s
Page 9 and 10: HPI Pain History: Location: Diffus
Page 11 and 12: Physical Exam Vitals: T 38.3 HR 60
Page 13 and 14: CXR
Page 15 and 16: CT abdomen New splenic broad wedge
Page 17: Differential Diagnosis of Splenic I
Page 21 and 22: TEE Read: - No evidence of vegetati
Page 23 and 24: This is what you see . . . . Though
Page 25 and 26: OUR PATIENTS A-FIB WAS A BIT HARDER
Page 27 and 28: OUR PATIENTS RECENT EKGS
Page 29 and 30: OUR PATIENTS RECENT EKGS
Page 31 and 32: Our patients recent EKgs
Page 33 and 34: Patient transitioned from heparin t
Page 35 and 36: Can it still go somewhere else? Leu
Page 37 and 38: Warfarin: Results in biologically i
Page 39 and 40: RE-LY: Dabigtran vs Warfarin for A-
Page 41 and 42: ROCKET: Rivaroxaban vs. Warfarin: R
Page 43 and 44: ARISTOTLE: Apixaban vs. Warfarin fo
Page 45 and 46: RE-COVER: Dabigatran vs. Warfarin f
Page 47: SUMMARY DIFFERENTIAL AND WORKUP FOR

Splenic Infarct, Atrial Fibrillation

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