30 results
Mitral valve endocarditis complicated by an abscess - Echocardiogram

Ivan Stankovic, MD, PhD @ https://twitter.com/Ivan_Echocardio

#MitralValve #Mitral #Valve
Mitral valve endocarditis ... complicated by an abscess ... Mitral #Valve #endocarditis ... #abscess #Echocardiogram ... #POCUS #Clinical
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Secondary Bacterial ... ) on Abdominal POCUS ... POCUS for win. ... Diverticular abscess ... #clinical #ultrasound
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
Spinal Epidural Abscess ... Patients at risk for bacteremia ... , HD catheter, endocarditis ... most common (63%) Clinical ... #diagnosis #management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
• Myocardial abscess ... • Aggressive management ... arthritis, splenic abscess ... Internet Book of Critical ... criticalcare #diagnosis #management
Ruptured Chordae Tendineae on POCUS Echocardiogram
 
Many underlying causes, not limited to: MVP, subacute endocarditis, connective
Chordae Tendineae on POCUS ... MVP, subacute endocarditis ... Assess for MR when ... Chordae #Tendineae #POCUS ... Echocardiogram #Ultrasound #Clinical
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
suggests perivalvular abscess ... annular or aortic abscess ... Complications: Abscess ... • Persistent bacteremia ... #diagnosis #management
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
and Management ... Lung Abscess - Clinical ... Management: • ... Pathogens: • Aerobic Bacteria ... • Anaerobic Bacteria
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
Persistent fever and/or bacteremia ... metastatic infection (endocarditis ... , epidural abscess ... Persistent fever and/or bacteremia ... limited vascular access
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... Features of Non-Bacterial ... Hypercoagulable states • Clinical ... indwelling catheters • Clinical ... common, Aortic root abscess
Source of pt's sepsis - bacterial orchitis. Heterogenous testicle with areas of necrosis/abscess with absent flow,
pt's sepsis - bacterial ... areas of necrosis/abscess ... @eabramsMD #Clinical ... #POCUS #ScrotalUS ... Testicle #Testicular #Abscess