10 results
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... on POCUS Echocardiogram ... Here you see a vegetation ... #MitralValve #Endocarditis ... #clinical #cardiology
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
consistent with a vegetation ... secondary to endocarditis ... #Clinical #POCUS ... #Echocardiogram ... #MitralValve #Vegetation
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
Pathologic lesions - vegetation ... histology of a vegetation ... involvement - Echocardiogram ... febrilepodcast] #Duke ... #diagnosis #major
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... • Aggressive management ... Internet Book of Critical ... #criticalcare #diagnosis ... #management
Osler's Nodes in a patient with infective endocarditis

67yo presents with R occipital intraparenchymal hemorrhage (IPH) attributed
0.7x0.5cm AoV vegetation ... confirming our working diagnosis ... of endocarditis ... embolic phenomena due ... #clinical #photo
Tricuspid regurgitation is present on this subxiphoid view of a patient diagnosed with endocarditis. If you
view of a patient diagnosed ... with endocarditis ... #Endocarditis #Vegetation ... regurgitation #cardiology #clinical ... #echocardiogram
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
formation • Other vegetations ... Diagnosis? ... Suspicion -> TEE • Duke ... -mm left sided vegetations ... #diagnosis #management
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
on POCUS Echocardiogram ... Diagnosis? ... Management? ... #HOCM #POCUS #Echocardiogram ... Cardiology #PLAX #clinical
Marantic Endocarditis 

Epidemiology:
 - Incidence of non-bacterial thrombotic endocarditis (marantic endocarditis if associated with cancer) is
cardiac valvular vegetations ... Clinical Findings ... irregularly shaped vegetations ... Vegetations mostly ... #Diagnosis #Management
Endocarditis - Diagnosis and Management Summary
What is it? Inflammation of endocardium, typically secondary to infection of
Endocarditis - Diagnosis ... and Management ... : Duke Criteria ... bacteria, ECHO w/ vegetation ... #duke #criteria