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	<title>Comments on: Transthoracic and Transesophageal Echocardiography for the Indication of Suspected Infective Endocarditis: Vegetations, Blood Cultures and Imaging</title>
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	<link>http://www.thepreparedminds.com/archives/1634</link>
	<description>In the field of observation, chance favors the prepared minds.</description>
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		<title>By: James Kirkpatrick</title>
		<link>http://www.thepreparedminds.com/archives/1634/comment-page-1#comment-1787</link>
		<dc:creator>James Kirkpatrick</dc:creator>
		<pubDate>Mon, 03 May 2010 14:00:58 +0000</pubDate>
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		<description>Endocarditis remains a difficult diagnosis to make, and it is not always clear the best course of action in using imaging.  Index of suspicion remains the most important aspect of the clinical diagnosis, but we hope that our paper and others can contribute to an ongoing discussion about the appropriate use of TTE and TEE.  We also hope to stimulate discussion about the use of imaging in diagnosing non-bacterial thrombotic and culture negative endocarditis.</description>
		<content:encoded><![CDATA[<p>Endocarditis remains a difficult diagnosis to make, and it is not always clear the best course of action in using imaging.  Index of suspicion remains the most important aspect of the clinical diagnosis, but we hope that our paper and others can contribute to an ongoing discussion about the appropriate use of TTE and TEE.  We also hope to stimulate discussion about the use of imaging in diagnosing non-bacterial thrombotic and culture negative endocarditis.</p>
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		<title>By: Jacobo Kirsch, MD</title>
		<link>http://www.thepreparedminds.com/archives/1634/comment-page-1#comment-1755</link>
		<dc:creator>Jacobo Kirsch, MD</dc:creator>
		<pubDate>Fri, 30 Apr 2010 16:49:37 +0000</pubDate>
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		<description>An important clinical pearl as concluded by the authors is that an increase in the severity of valvular regurgitation of &gt;1 grade on TTE (under the right clinical context and without visualization of vegetation) should raise the concern and the need for a TEE.</description>
		<content:encoded><![CDATA[<p>An important clinical pearl as concluded by the authors is that an increase in the severity of valvular regurgitation of &gt;1 grade on TTE (under the right clinical context and without visualization of vegetation) should raise the concern and the need for a TEE.</p>
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