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Mitral valve endocarditis complicated by an abscess - Echocardiogram Ivan Stankovic, MD, PhD @ https://twitter.com/Ivan_Echocardio #MitralValve #Mitral #Valve
Mitral valve endocarditis ... complicated by an abscess ... Mitral #Valve #endocarditis ... #abscess #Echocardiogram ... #POCUS #Clinical
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 Ruptured Chordae Tendineae on POCUS Echocardiogram Many underlying causes, not limited to: MVP, subacute endocarditis, connective
Chordae Tendineae on POCUS ... MVP, subacute endocarditis ... Assess for MR when ... you see ruptured ... Echocardiogram #Ultrasound #Clinical
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 Aortic and Mitral Valve Vegetations in Endocarditis on POCUS - PLAX Why would this 30 y/o male
Vegetations in Endocarditis ... on POCUS - PLAX ... you see large vegetations ... #Vegetations #Endocarditis ... #POCUS #PLAX #clinical
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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Autoimmune (SLE ... Differential Diagnosis ... Diagnosis? ... Complications: Abscess ... #diagnosis #management
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
specific to NBTE, and diagnosis ... high index of clinical ... is required for diagnosis ... conditions: Autoimmune (SLE ... common, Aortic root abscess
Mitral Valve Endocarditis on POCUS Echocardiogram 66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... #POCUS give you ... Here you see a vegetation ... #MitralValve #Endocarditis ... #clinical #cardiology
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 Duke's Criteria for Infective Endocarditis Definite IE - Pathologic Criteria: • Pathologic lesions - vegetation or intracardiac
for Infective Endocarditis ... or intracardiac abscess ... demonstrating active endocarditis ... or intracardiac abscess ... #diagnosis #major
Non-Infective Endocarditis (NBTE / Marantic Endocarditis) Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
patients with SLE ... specific to NBTE, and diagnosis ... high index of clinical ... is required for diagnosis ... NBTE #Marantic #diagnosis
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm Neoplasm: • NHL • Hodgkin's lymphoma • Leukemia • Solid
- Differential Diagnosis ... Autoimmune: • SLE ... • Infectious endocarditis ... Osteomyelitis • Occult abscess ... #Differential #Diagnosis
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... • Myocardial abscess ... arthritis, splenic abscess ... Internet Book of Critical ... #criticalcare #diagnosis
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