9 results
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... on POCUS Echocardiogram ... #POCUS #Echocardiogram ... clinical #cardiology #a4c ... #plax
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... patient with an ASD ... #washout #ASD # ... septal #defect #a4c ... #Echocardiogram
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Diagnosis 1. ... Small secundum ASD ... or PFO with left ... #s4c #pocus #bubble
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
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Mitral valve doesn ... sinus rhythm... 1. ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram ... clinical #cardiology #pocus
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
mitral regurgitation ... • Coagulase-negative ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... • Left sided > Right
Huge mural thrombus occupying 1/3 the LV.
MI effecting [LAD territory]

In PLAX view, The unechoic line between
Huge mural thrombus ... occupying 1/3 the ... territory] In PLAX ... clinical #cardiology #echocardiogram ... #pocus #a4c
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... shifts left ... stretched PFO or ASD ... #clinical #pocus ... #a4c #intrapulmonary
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... mitral regurgitation ... aureus, Coagulase-negative ... Paradoxical emboli via ASD ... #Differential #