11 results
HIV patient with sepsis - Infective endocarditis and vegetation

- Jaime Alejandro Sánchez Gutiérrez
@J_AlejandroMD

#Clinical #POCUS #Echocardiogram #A4C
endocarditis and ... vegetation - ... Clinical #POCUS #Echocardiogram ... #A4C #Infective ... Vegetations
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 ... that extends up and ... clinical #cardiology #a4c ... #plax
Mitral Valve Endocarditis on POCUS Echocardiogram

This patient underwent septal myectomy and MV replacement

- Abhilash Koratala MD
Mitral Valve Endocarditis ... septal myectomy and ... #Vegetations #POCUS ... #Echocardiogram ... clinical #cardiology #A4C
Mitral Valve Infective Endocarditis on POCUS Echocardiogram

IE & HIV & CD4<100 - Oh My!! Time for
Mitral Valve Infective ... Endocarditis on ... POCUS Echocardiogram ... daptomycin, pip/tazo and ... #clinical #a4c
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
Clips 1 and 2 demonstrate ... a mobile mitral ... Clinical #POCUS #Echocardiogram ... #PLAX #Infective ... #Endocarditis #
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
Endocarditis Definite ... Pathologic lesions - vegetation ... histology of a vegetation ... involvement - Echocardiogram ... diagnosis #major
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 ... large or mobile vegetations ... #Diagnosis #InfectiveEndocarditis ... Transesophageal #Echocardiogram
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... chordae Severe mitral ... Whipple's disease Infective ... endocarditis (vegetations ... stenosis #Causes #diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
mitral regurgitation ... formation • Other vegetations ... Paradoxical emboli via ASD ... Diagnosis? ... -mm left sided vegetations
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
Functional Mitral ... stenosis - Infective ... /marantic endocarditis ... Vegetations seen ... #Differential #Diagnosis