11 results
Aortic and Mitral Valve Vegetations in Endocarditis on POCUS - PLAX

Why would this 30 y/o male
Valve Vegetations ... in Endocarditis ... on POCUS - PLAX ... #Valve #Vegetations ... #cardiology
Mitral Valve Vegetations on Echocardiogram (PLAX)

Surgery may be considered in pts with large (>15 mm) isolated
Mitral Valve Vegetations ... Echocardiogram (PLAX ... #endocarditis # ... Mitral #Valve #plax ... Echocardiogram #clinical #cardiology
Mitral Valve Vegetations on Echocardiogram

Surgery may be considered in pts with large (>15 mm) isolated aortic
Mitral Valve Vegetations ... vegetations to ... #endocarditis # ... Mitral #Valve #psax ... Echocardiogram #clinical #cardiology
Endocarditis - Large Mitral Valve Vegetation on POCUS Echocardiogram

Dr. Bobby Yanagawa @BobbyYanagawa

#Endocarditis #Mitral #Vegetation #POCUS #valve
Endocarditis - Large ... Mitral Valve Vegetation ... #Mitral #Vegetation ... clinical #cardiology ... #PLAX #echocardiogram
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... for metastatic infection ... consultation • Valve ... block (+/- daily EKG ... growth or worsening valve
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... Pt had mitral valve ... Here you see a vegetation ... #MitralValve #Endocarditis ... #a4c #plax
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
demonstrate a mobile mitral ... with a vegetation ... secondary to endocarditis ... Echocardiogram #PLAX ... #Infective #Endocarditis
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... Whipple's disease Infective ... endocarditis (vegetations ... atrial myxoma)/ball valve ... #differential #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Involves aortic and mitral ... formation • Other vegetations ... ↑ ESR, CRP • EKG ... -mm left sided vegetations ... #management #cardiology
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
stenosis - Infective ... /marantic endocarditis ... Vegetations seen ... valve - Secondary ... Differential #Diagnosis #Cardiology