4 results
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
demonstrate a mobile mitral ... with a vegetation ... #Clinical #POCUS ... Echocardiogram #PLAX ... #MitralValve #Vegetation
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
Marantic Endocarditis 

Epidemiology:
 - Incidence of non-bacterial thrombotic endocarditis (marantic endocarditis if associated with cancer) is
cardiac valvular vegetations ... Clinical Findings ... irregularly shaped vegetations ... on mitral and aortic ... Vegetations mostly
Tuberculosis Testing

LATENT TB
• LTBI is diagnosed when an asymptomatic patient has a positive TST or IGRA
result with no clinical ... infection in patients ... • Tuberculosis infection ... • Recent viral ... positive predictive value