51 results
HIV patient with sepsis - Infective endocarditis and vegetation

- Jaime Alejandro Sánchez Gutiérrez
@J_AlejandroMD

#Clinical #POCUS #Echocardiogram #A4C
endocarditis and ... vegetation - ... Echocardiogram #A4C ... #Infective #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 Vegetations in Endocarditis - POCUS Echocardiogram

Apical 4-chamber view, a mobile echogenic mass is seen
Mitral Valve Vegetations ... in Endocarditis ... very specific for endocarditis ... #Endocarditis # ... clinical #cardiology #a4c
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
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
Algorithm for Diagnosis of the Petechial / Purpuric Rash

Febrile/Toxic, Palpable: 
 - Meningococcaemia, Disseminated Gonococcal Infection,
Algorithm for Diagnosis ... Petechial / Purpuric Rash ... Disseminated Gonococcal Infection ... , Endocarditis, ... #Algorithm #Diagnosis
Mitral Valve Infective Endocarditis on POCUS Echocardiogram

IE & HIV & CD4<100 - Oh My!! Time for
Mitral Valve Infective ... Endocarditis on ... #MitralValve #Infective ... #Endocarditis # ... Echocardiogram #clinical #a4c
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 #