Tears come from the heart and not from the brain - Leonardo da Vinci


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Pearls in the Diagnosis of Endocarditis and Blood Culture Interpretation

Pearl 1. Even though we were taught about Janeway lesions and Osler’s nodes in medical school, the reality is that these peripheral manifestations of endocarditis occur in only about 10% of patients.  Listening for heart murmurs which are present in about 90% of patients with endocarditis is one of the most important physical exam maneuvers in patients who present with fever NYD.

Pearl 2. Look at patients’ teeth who present with fever NYD. If they appear to have poor dental hygiene, think about the possibility of endocarditis.

Pearl 3.

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Last Updated : Thursday, August 8, 2019