11 results
Mitral Valve Endocarditis on POCUS Echocardiogram
2 months of 'FUO'

- Dr. Ernest Fischer @EAFischer

#Mitral #Valve #Endocarditis #Vegetations
Mitral Valve Endocarditis ... on POCUS Echocardiogram ... 2 months of 'FUO ... #Echocardiogram ... clinical #cardiology #a4c
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Diagnosis 1. ... Small secundum ASD ... to right shunt 2. ... #clinical #echocardiogram ... #s4c #pocus #bubble
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Mitral valve doesn ... sinus rhythm... 1. ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... clinical #cardiology #pocus
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - Differential ... Diagnosis Framework ... 38°C with only 1 ... Fever #Patterns #Differential ... #Diagnosis #intermittent
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
Clips 1 and 2 demonstrate ... a mobile mitral ... #Clinical #POCUS ... #Echocardiogram ... PLAX #Infective #Endocarditis
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Heart Disease - Mitral ... (1) Thickened ... (2) Lvef 25-30% ... spontaneous echo contrast ... clinical #cardiology #a4c
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... bubbles = PFO 2. ... stretched PFO or ASD ... #clinical #pocus ... #a4c #intrapulmonary
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
prosthetic valve, PFO, ASD ... cardiac surgery, endocarditis ... Major + 1 Minor ... Artery #Embolism #diagnosis ... #differential #
Intracardiac Septal Masses / Thickening on Echocardiogram - Differential Diagnosis - 4 separate cases:
Case 1: LV
- Differential ... Diagnosis - 4 separate ... cases: Case 1: ... LV Clot Case 2: ... #clinical #a4c
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis Differential ... Diagnosis Framework ... lasting > 30 mins - 1 ... OLIGOARTHRITIS • 2- ... • Bacterial endocarditis