13 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
Complex mitral valve endocarditis with pericardial effusion, myocardial abscess, and reduced LV systolic function - Echocardiogram
Complex mitral valve ... endocarditis with ... pericardial effusion ... Echocardiogram #clinical ... #cardiology #pocus
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
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial ... demonstrating ECG ... motion Massive pericardial ... Echocardiogram #malignant #clinical ... #cardiology #pocus
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial ... demonstrating ECG ... motion Massive pericardial ... Echocardiogram #malignant #clinical ... #cardiology #pocus
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Effusion on POCUS ... EKG from same patient ... electrical #alternans #POCUS ... Echocardiogram #A4C #Clinical ... #Cardiology #Swinging
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic
Massive Pericardial ... demonstrating ECG ... motion Massive pericardial ... Echocardiogram #malignant #clinical ... #cardiology #pocus
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
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
• Malignancy (e.g ... Endocrine disorders (e.g ... Serositis: • Pleural/pericardial ... • Libman-Sacks endocarditis ... Cytopenias • Cardiac valve