10 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... consultation • Valve ... block (+/- daily EKG ... of infection (e.g ... Internet Book of Critical
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
demonstrating ECG ... alternans motion ... Echocardiogram #malignant #clinical ... #cardiology #pocus ... S4C #electrical #alternans
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
demonstrating ECG ... alternans motion ... Echocardiogram #malignant #clinical ... #cardiology #pocus ... a4c #electrical #alternans
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Pericardial Effusion on POCUS ... for electrical alternans ... EKG from same patient ... #A4C #Clinical ... #Cardiology #Swinging
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic
demonstrating ECG ... alternans motion ... Echocardiogram #malignant #clinical ... #cardiology #pocus ... MMode #electrical #alternans
Short axis of this echo is mesmerizing: Malignant effusion in a young pt. Notice subtle electrical
subtle electrical alternans ... on the ECG. ... PericardialEffusion #Clinical ... #POCUS #Echocardiogram ... ElectricalAlternans #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... Influenza Prosthetic Valve ... ↑ ESR, CRP • EKG ... aureus prosthetic valve ... #management #cardiology
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... Dissection on POCUS ... Echocardiogram STEMI on EKG ... Echocardiogram #cardiology ... #clinical
Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of
Hypokinesis on POCUS ... EKG unremarkable ... This was her EKG ... Echocardiogram #clinical ... #cardiology #PSAX
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... Change in clinical ... Intraabdominal - Orthopedic ... one post op Cardiology