16 results
Mitral Valve Vegetations in Endocarditis - POCUS Echocardiogram

Apical 4-chamber view, a mobile echogenic mass is seen
Mitral Valve Vegetations ... mitral valve flopping ... TTE is 84% sensitive ... #Valve #Vegetations ... clinical #cardiology #a4c
POCUS Echocardiography - Table of Cardiac Views and Windows
 • Parastemal Long-Axis View (PLAX)
 • Parasternal
-Chamber View (A4C ... View • PSAX: Mitral ... SSN: Color Flow Doppler ... #Cardiac #TTE # ... Echocardiogram #
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... on POCUS Echocardiogram ... Pt had mitral valve ... Here you see a vegetation ... clinical #cardiology #a4c
Sonographic Pulsus Paradoxus: Pulsed wave Doppler over mitral valve inflow demonstrating peak velocity change >25% with
over mitral valve ... Pulsus #Paradoxus #Echocardiogram ... #Doppler #Pericardial ... #Effusion #POCUS ... Clinical #cardiology #a4c
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
applying color Doppler ... over the valve. ... #Clinical #POCUS ... #Echocardiogram ... #PLAX #Infective
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
Pericarditis on POCUS ... Echocardiogram ... Also has pericardial ... Did have tap next ... #Echocardiogram
Pickelhaube Sign on Echocardiogram
Pickelhaube sign may be seen in mitral valve prolapse (MVP): High velocity (≥
be seen in mitral ... valve prolapse ... signal with tissue Doppler ... valve disease ( ... #POCUS #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Involves aortic and mitral ... occlusion that may ... lead to infarction ... cultures • 2D Echo TTE ... • TTE nondiagnostic
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
stenosis - Infective ... Vegetations seen ... prolapse beyond the ... valve - Secondary ... lead to MR.
Chiari Network on POCUS Echocardiogram - A4C
Chiari network - fenestrated, net-like embryonic remnants of valves of
Echocardiogram ... embryonic remnants of valves ... close relation to the ... May be associated ... with infective