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cardiology echocardiogram clinical marantic pocus causes criteria mitral mitralvalve nbte noninfective regurgitation algorithm artery checklist comparison coronary criticalcare duke embolism
Non-Infective Endocarditis (NBTE / Marantic Endocarditis) Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
Non-Infective Endocarditis ... the surface of valve ... leaflet • Vegetations ... inflammation at vegetation ... vegetation on echo
Mitral Valve Endocarditis on POCUS Echocardiogram 66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... Here you see a vegetation ... #MitralValve #Endocarditis ... clinical #cardiology #a4c ... #plax
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 Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Differentiating NBTE from Infective ... specific to NBTE, and diagnosis ... is required for diagnosis ... false-negative results: vegetation ... already embolised, Vegetations
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Myocardial abscess • Vegetation ... cultures • Large vegetation ... repeat echo (to r/o vegetation ... #criticalcare #diagnosis ... #management
What's the Dx? • 29-year-old male • Transfer community hospital • Hypotension • Renal failure • Altered mental status.
consistent with a vegetation ... secondary to endocarditis ... Echocardiogram #PLAX ... #Infective #Endocarditis ... #MitralValve #Vegetation
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 Tricuspid regurgitation is present on this subxiphoid view of a patient diagnosed with endocarditis. If you
view of a patient diagnosed ... with endocarditis ... you can see the vegetation ... #Endocarditis #Vegetation ... ultrasound #POCUS #S4C
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 Marantic Endocarditis Epidemiology: - Incidence of non-bacterial thrombotic endocarditis (marantic endocarditis if associated with cancer) is
cardiac valvular vegetations ... irregularly shaped vegetations ... Vegetations mostly ... just sit on valve ... #Diagnosis #Management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
formation • Other vegetations ... Marantic (NTBE) Differential ... -mm left sided vegetations ... #Endocarditis #diagnosis ... #management #cardiology
Figure. An approach to the diagnostic use of echocardiography (echo). Rx indicates prescription; TEE, transesophageal echocardiography; and
approach to the diagnostic ... other stigmata of infective ... prosthetic heart valves ... large or mobile vegetations ... #Diagnosis #InfectiveEndocarditis
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
(Vegetation, Thrombus ... , PFO, ASD, h/o ... cardiac surgery, endocarditis ... Artery #Embolism #diagnosis ... #differential #
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