7 results
Mitral Valve Infective Endocarditis on POCUS Echocardiogram

IE & HIV & CD4<100 - Oh My!! Time for
Mitral Valve Infective ... Endocarditis on ... POCUS Echocardiogram ... #Endocarditis # ... #clinical #a4c
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
and Secondary Causes ... , Infective endocarditis ... , Infective endocarditis ... annulus valve: ... Regurgitation #differential
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
Viral Hemorrhagic ... CLINICAL UTILITY ... limited predictive value ... the most likely infection ... help hone your differential
Chiari Network on POCUS Echocardiogram - A4C
Chiari network - fenestrated, net-like embryonic remnants of valves of
- A4C Chiari network ... embryonic remnants of valves ... associated with infective ... endocarditis, arrhythmias ... Echocardiogram #clinical
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
demonstrate a mobile mitral ... young patient with fever ... #Clinical #POCUS ... Echocardiogram #PLAX #Infective ... #Endocarditis #
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Involves aortic and mitral ... night sweats, fever ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... Persistent bacteremia/fevers
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... involves aortic and mitral ... night sweats, fever ... Septic emboli cause ... #Endocarditis #Differential