12 results
Mitral Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.

Dr. Robert Jones @RJonesSonoEM

#MitralValve
Mitral Valve Endocarditis ... on POCUS Echocardiogram ... presents with fever ... #clinical #cardiology ... #plax
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TTE +/- TEE) • Chest ... for metastatic infection ... • Persistent fever ... • Aggressive management ... metastatic foci of infection
Aortic Valve Endocarditis on POCUS Echocardiogram (PLAX)
50 yo female presents with fever & flu-like symptoms.
on POCUS Echocardiogram ... (PLAX) 50 yo female ... presents with fever ... #PLAX #clinical ... #ultrasound #cardiology
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
and Management ... polymicrobial infection ... : • 80% have fever ... decubitus - air fluid level ... Intervention: - Fevers
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... night sweats, fever ... Persistent bacteremia/fevers ... #diagnosis #management ... #cardiology
Based on the images alone, it is usually not possible to determine the cause of the
between these chest ... with cough and fever ... nodular interstitial lung ... Clinical #Diagnosis #Radiology ... Consolidation #Causes #RadiologyAssistant
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
Tricuspid Valve Endocarditis ... on POCUS Echocardiogram ... presents with fever ... frequently have lung ... #clinical #cardiology
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
the majority of infections ... SIow growing, Long ... • Cellulitis: Fever ... 13%), Pneumonia, Endocarditis ... infectiousdiseases #diagnosis #management
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Infectious: • Pre-existing ... , verrucous) - Lung ... night sweats, fever ... Persistent bacteremia/fevers ... Differential #Diagnosis #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... Skin exam for infection ... - Cataract Plan ... unless prior heart/lung ... medical and surgical management