10 results
Mitral Valve Endocarditis on POCUS Echocardiogram

This patient underwent septal myectomy and MV replacement

- Abhilash Koratala MD
Mitral Valve Endocarditis ... #Valve #Endocarditis ... #Vegetations #POCUS ... clinical #cardiology #A4C ... #S4C
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 ... that extends up and ... clinical #cardiology #a4c
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
mitral regurgitation ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... -mm left sided vegetations ... #Endocarditis #diagnosis
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
(Vegetation, Thrombus ... , PFO, ASD, h/o ... cardiac surgery, endocarditis ... #Embolism #diagnosis ... #differential #
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
disease Infective endocarditis ... (vegetations)/tumor ... atrial myxoma)/ball valve ... stenosis #Causes #diagnosis ... #differential #
Causes of Ischemic Stroke - Differential Diagnosis Framework
Important to determine and treat the etiology behind because
Diagnosis Framework ... * • Valvular: Mitral ... stenosis, Prosthetic valve ... • Endocarditis ... Bifurcation of carotid artery
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... mitral regurgitation ... Paradoxical emboli via ASD ... -mm left sided vegetations ... #Endocarditis #Differential
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
Infective/marantic endocarditis ... Vegetations seen ... valve - Secondary ... Primary #Functional #Differential ... #Diagnosis #Cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Right Atrium - Differential ... Diagnosis 1. ... Small secundum ASD ... echocardiogram #s4c ... #pocus #bubble
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... • Libman-Sacks endocarditis ... /LAC: • Renal artery ... Cytopenias • Cardiac valve ... vegetations APLA