1118 results
HIV patient with sepsis - Infective endocarditis and vegetation

- Jaime Alejandro Sánchez Gutiérrez
@J_AlejandroMD

#Clinical #POCUS #Echocardiogram #A4C
with sepsis - Infective ... endocarditis and ... vegetation - ... #Endocarditis # ... Vegetations
Non-Infective Endocarditis (NBTE / Marantic Endocarditis)
Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
Non-Infective Endocarditis ... ) Non-infective ... valve leaflet • Vegetations ... inflammation at vegetation ... vegetation on echo
Mitral Valve Vegetation Echocardiogram
Juicy vegetation on a mitral valve.

31% S. Aureus (IVDUs, IV lines)
17% Strep viridans
11%
Mitral Valve Vegetation ... Echocardiogram Juicy vegetation ... MedCrisis #Mitral #Vegetation ... #Endocarditis # ... Infective #Clinical
Mitral Valve Vegetation on Echocardiogram

Since people liked yesterday's MV vegetation, & IE was a hot topic
Mitral Valve Vegetation ... yesterday's MV vegetation ... MedCrisis #Mitral #Vegetation ... #Endocarditis # ... Infective #Clinical
Non-Infective Endocarditis - Pathophysiology
Non-infective Endocarditis Pathophysiology:
 • Valves usually undamaged - Etiology poorly understood but thought
Non-Infective Endocarditis ... Pathophysiology Non-infective ... Endocarditis Pathophysiology ... failure is rare Infective ... and propagate → Vegetation
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... suspect right-sided endocarditis ... for metastatic infection ... cultures • Large vegetation ... metastatic foci of infection
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
Duke's Criteria for Infective ... Endocarditis Definite ... Pathologic lesions - vegetation ... histology of a vegetation ... #Endocarditis #
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Differentiating NBTE from Infective ... false-negative results: vegetation ... already embolised, Vegetations ... infarcts Features of Infective ... #comparison #infective
Tricuspid Valve Endocarditis on POCUS

This is the bedside Echo of a critically ill young lady who
Tricuspid Valve Endocarditis ... tricuspid valve are infective ... vegetations. ... a patient with endocarditis ... that left-sided vegetations
Endocarditis - Duke Criteria - Major and Minor

MAJOR CRITERIA: 
 - Persistently +ve blood culture for
Endocarditis - Duke ... organisms - ECHO: vegetation ... Coxiella burnetii infection ... criteria #Endocarditis