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cardiology clinical echocardiogram diagnosis effect plax asd atrial atrium bubble defect infectiousdiseases infective management ra right s4c septal vegetation washout
Mitral Valve Endocarditis on POCUS Echocardiogram 66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... #POCUS give you ... Here you see a vegetation ... #MitralValve #Endocarditis ... clinical #cardiology #a4c
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 Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... Ivan_Echocardio #Negative ... #washout #ASD # ... septal #defect #a4c ... clinical #cardiology #pocus
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 What's the Dx? • 29-year-old male • Transfer community hospital • Hypotension • Renal failure • Altered mental status.
Using IV heroin • Negative ... consistent with a vegetation ... secondary to endocarditis ... #Clinical #POCUS ... #MitralValve #Vegetation
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 Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Negative Contrast ... Right Atrium - Differential ... Small secundum ASD ... echocardiogram #s4c ... #pocus #bubble
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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Coagulase-negative ... formation • Other vegetations ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... -mm left sided vegetations
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential ... aureus, Coagulase-negative ... staphylococci Culture Negative ... -mm left sided vegetations ... #Differential #
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