What tests need to be done to diagnose endocarditis? can the er detect.endocarditis?

Endocarditis: Requires multiple criteria in the appropriate setting for diagnosis. Difficult to nail down the diagnosis in the er. Blood cultures, physical exam , appropriate history and imaging including an echocardiogram and often a tee are needed for the diagnosis.

Index of suspician: First the symptoms need to fit to even suspect endocarditis. It is not a completely simple thing to diagnose and an er is probably not the best place to do this because follow-up is needed and you don't get that in most er's. But multiple blood cultures growing bacteria is the best test to confirm endocarditis.