6 results
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
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
Pathologic lesions - vegetation ... histology of a vegetation ... involvement - Echocardiogram ... febrilepodcast] #Duke ... 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 ... Transesophageal #Echocardiogram ... #TTE #TEE #Algorithm
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 ... Suspicion -> TEE • Duke ... -mm left sided vegetations
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
mitral regurgitation ... Paradoxical emboli via ASD ... formation • Other vegetations ... Suspicion → TEE • Duke ... -mm left sided vegetations