15 results
Mitral Valve Vegetations in Endocarditis - POCUS Echocardiogram

Apical 4-chamber view, a mobile echogenic mass is seen
Mitral Valve Vegetations ... in Endocarditis ... valve flopping ... #Valve #Vegetations ... clinical #cardiology #a4c
Mitral Valve Endocarditis on POCUS Echocardiogram

This patient underwent septal myectomy and MV replacement

- Abhilash Koratala MD
Mitral Valve Endocarditis ... @NephroP #Mitral ... #Valve #Endocarditis ... #Vegetations #POCUS ... clinical #cardiology #A4C
Mitral Valve Endocarditis on POCUS Echocardiogram
2 months of 'FUO'

- Dr. Ernest Fischer @EAFischer

#Mitral #Valve #Endocarditis #Vegetations
Mitral Valve Endocarditis ... @EAFischer #Mitral ... #Valve #Endocarditis ... #Vegetations #POCUS ... clinical #cardiology #a4c
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
Leaflet: Rheumatic fever ... • Prosthetic valve ... annulus valve: ... cardiomyopathy - VA Joint ... Regurgitation #differential
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... Pt had mitral valve ... Here you see a vegetation ... #MitralValve #Endocarditis ... clinical #cardiology #a4c
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... (e.g., spine, joints ... consultation • Valve ... • Persistent fever ... growth or worsening valve
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
demonstrate a mobile mitral ... with a vegetation ... secondary to endocarditis ... young patient with fever ... #MitralValve #Vegetation
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 ... Persistent bacteremia/fevers ... -mm left sided vegetations
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... Subacute bacterial endocarditis ... Cardiovascular system • Mitral ... - Bacterial endocarditis ... #pain #differential
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... disease Infective endocarditis ... (vegetations)/tumor ... atrial myxoma)/ball valve ... Causes #diagnosis #differential