In this small study of 37 patients with suspected endocarditis, researchers examined the diagnostic accuracy of CT (compared to TEE or surgery), in detecting endocarditis. CT (on per valve evaluation) compared favorably to TEE (PPV 93% and NPV 98%) and surgery (PPV 96% and NPV 97%) in detecting valve abnormalities (vegetations, abscesses, perforations, fistulas, or valve dehiscence) (abstract). The authors conclude CT could be usefulfor endocarditis diagnosis after an initial TEE is negative / inconclusive, or for prosthetic valves when metallic artifacts obscure valve visualization on a TEE. Additional pre-op benefits include better anatomic mapping, and ruling in (or out) co-existing CAD (instead of angiography).
Fill in the Blanks: Q: “The diagnosis of type 2 MI is associated with a _____ prognosis. ___% of patients will live five years after their diagnosis.” The answer is a) POOR and b) a staggering 40%. I did not know that. However, what I am aware of is the ambiguity around Type 2 MIs and […]
What comes to mind when you think of getting CME? I bet most of you would say sitting in an auditorium, whether that be during your local grand rounds or at our professional society meeting, like Hospital Medicine 16 in sunny San Diego this past March. Hanging out in the Twitterverse? Probably not so much… […]
As a nurse practitioner in hospital medicine I have multiple opportunities to interact with all sorts of physician hospitalist colleagues, hospital medicine group leaders, quality officers etc. Often their interactions with me take on a certain wary curiosity, like I am some exotic monkey or another creature that is unfamiliar to them. If I am […]