18 results
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 ... #MitralValve #Mitral ... #Valve #endocarditis ... POCUS #Clinical #Cardiology
Relative Risk of Various Predisoosing Conditions for Infective Endocarditis 
High Risk:
 - Prosthetic valves 
 -
- Aortic valve ... disease - Mitral ... regurgitation ... #RiskFactors #Cardiology ... #Diagnosis #Differential
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
fever, Infective endocarditis ... • Prosthetic valve ... annulus valve: ... #differential #diagnosis ... #cardiology #causes
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Systolic Murmurs - Differential ... Marfan's Disease Mitral ... Fever • Trauma Mitral ... Systolic #Murmurs #Cardiology ... #Differential #
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
consultation • Valve ... regurgitation or ... • Myocardial abscess ... block (+/- daily EKG ... growth or worsening valve
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Involves aortic and mitral ... regurgitation ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Marantic: Emboli > Regurgitation
Causes of Severe Aortic Regurgitation - Differential Diagnosis
Acute:
 • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
- Differential ... Acute Infective Endocarditis ... Acute Prosthetic Valve ... Infection: Infective Endocarditis ... #Differential #
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
Hemoptysis - Differential ... Necrotizing PNA, Abscess ... • Valvular (Mitral ... stenosis or regurgitation ... , Tricuspid endocarditis
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
Pulse Pressure - Differential ... sclerosis (both heart valve ... • Infective Endocarditis ... • Mitral Regurgitation ... • Mitral Stenosis
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... involves aortic and mitral ... regurgitation ... ↑ ESR, CRP • EKG ... #Endocarditis #Differential