10 results
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... on POCUS Echocardiogram ... Pt had mitral valve ... #POCUS #Echocardiogram ... #clinical #cardiology
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
and Secondary Causes ... regurgitation: • Leaflet ... Ring fracture, Thrombus ... differential #diagnosis #cardiology ... #causes #primary
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... chordae Severe mitral ... disease Infective endocarditis ... myxoma)/ball valve thrombus ... #differential #cardiology
Isolated cleft in the posterior mitral valve leaflet can be a cause of unexplained mitral regurgitation
be a cause of unexplained ... regurgitation #Echocardiogram ... #clinical #cardiology ... #pocus #doppler ... #color
Ebstein Anomaly on Echocardiogram

Ebstein anomaly. The tricuspid valve is ALWAYS more apically displaced than the mitral
displaced than the mitral ... commonest congenital cause ... acceleration starts (by colour ... Ebstein #Anomaly #POCUS ... #cardiology #a4c
Pickelhaube Sign on Echocardiogram
Pickelhaube sign may be seen in mitral valve prolapse (MVP): High velocity (≥
Pickelhaube Sign on Echocardiogram ... may be seen in mitral ... myxomatous prolapsing leaflets ... causes the adjacent ... #POCUS #cardiology
Huge mural thrombus occupying 1/3 the LV.
MI effecting [LAD territory]

In PLAX view, The unechoic line between
Huge mural thrombus ... the clot is very clear ... #Thrombus #clinical ... #cardiology #echocardiogram ... #pocus #a4c
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Involves aortic and mitral ... ↑ ESR, CRP • EKG ... Treat underlying cause ... Regurgitation • Colon ... diagnosis #management #cardiology
Apical 2-Chamber (A2C) Window on POCUS Echocardiogram

Helpful to distinguish anterior and inferior regional wall motion abnormalities.
A2C) Window on POCUS ... Echocardiogram ... In this case, severely ... EF -> visible mural ... clinical #anatomy #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
involves aortic and mitral ... Septic emboli cause ... ↑ ESR, CRP • EKG ... Regurgitation • Colon ... Differential #Diagnosis #cardiology