10 results
Aortic Valve Endocarditis on POCUS Echocardiogram (PLAX)
50 yo female presents with fever & flu-like symptoms.
Aortic Valve Endocarditis ... presents with fever ... #aorta #Valve # ... Endocarditis #POCUS ... #clinical #ultrasound
Splenic Abscess on POCUS

Older male with IVDU presents with fever, abdominal pain and hypotension.  During
Splenic Abscess ... Had Aortic valve ... endocarditis. ... #POCUS #clinical ... #ultrasound
Endocarditis with Septic Emboli to the Spleen on POCUS
Aortic valve endocarditis (subxiphoid view) with emboli to
Aortic valve endocarditis ... to the spleen (diagnosed ... Emboli #Spleen #Splenic ... #POCUS #ultrasound ... #clinical
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... is required for diagnosis ... features: Fever ... dysfunction common, Aortic ... root abscess often
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
consultation • Valve ... • Persistent fever ... septic arthritis, splenic ... abscess) By ... #criticalcare #diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... night sweats, fever ... emboli: Cerebral > Splenic ... block, annular or aortic ... #Endocarditis #diagnosis
Parasternal Short Axis (PSAX) at the level of the Aortic Valve

Phased array transducer; parasternal short axis/indicator
) at the level of ... the Aortic Valve ... This view helps assess ... echocardiogram #clinical ... #cardiology #POCUS
Tricuspid Vegetation on POCUS - PSAX
PSSA level of aortic valve w/ vegetation on TV. Septic embolization

-
Vegetation on POCUS ... - PSAX PSSA level ... of aortic valve ... #PSAX #clinical ... #ultrasound #echocardiogram
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
• Prosthetic valve ... Ovarian CA, involves aortic ... night sweats, fever ... emboli: Cerebral > Splenic ... block, annular or aortic
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Assess functional ... event, follow ACC algorithm ... Change in clinical ... - Cataract Plan ... stratification #diagnosis