19 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 ... on POCUS Echocardiogram ... septal myectomy and ... #Vegetations #POCUS ... #Echocardiogram
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
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
Primary and Secondary ... Rheumatic fever, Infective ... endocarditis, Myxomatous ... endocarditis, Ring ... #differential #diagnosis
Tricuspid regurgitation is present on this subxiphoid view of a patient diagnosed with endocarditis. If you
Tricuspid regurgitation ... view of a patient diagnosed ... #Endocarditis #Vegetation ... cardiology #clinical #echocardiogram ... ultrasound #POCUS #S4C
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 ... - New valvular regurgitation ... diagnosis #major
Endocarditis - Duke Criteria - Major and Minor

MAJOR CRITERIA: 
 - Persistently +ve blood culture for
Criteria - Major and ... organisms - ECHO: vegetation ... - New valvular regurgitation ... Coxiella burnetii infection ... #Major #Minor #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 ... Marantic: Emboli > Regurgitation ... -mm left sided vegetations