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

Why would this 30 y/o male
Valve Vegetations ... in Endocarditis ... valves and pulmonary ... #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
Mitral Valve Vegetation ... #Mitral #Vegetation ... #POCUS #valve # ... clinical #cardiology ... #PLAX #echocardiogram
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... Pt had mitral valve ... a replacement valve ... Here you see a vegetation ... #a4c #plax
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
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
valve mass consistent ... upstream side of the valve ... Doppler over the valve ... Echocardiogram #PLAX ... #Infective #Endocarditis
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
and Secondary Causes ... • Prosthetic valve ... annulus valve: ... differential #diagnosis #cardiology ... #causes #primary
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
• Prosthetic valve ... Involves aortic and mitral ... Influenza Prosthetic Valve ... ↑ ESR, CRP • EKG ... aureus prosthetic valve