29 results
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Pregnancy • Fever ... • Rheumatic Fever ... • Rheumatic Fever ... • Rheumatic Fever ... Diagnosis #Algorithm #causes
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
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
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Hyperkalemia Pulmonary ... Diptheria • Typhoid fever ... Acute rheumatic fever ... Psittacosis • Q fever ... • Yellow fever
Atrial Flutter on Echocardiogram (PLAX)

Another case of atrial flutter on echo. No wonder the patient almost
(PLAX) Another ... case of atrial ... patient almost (but never ... #Echocardiogram ... #clinical #cardiology
RV Thrombus on POCUS Echocardiogram in a patient with Pulmonary Embolism

It's a little fuzzy but if
Thrombus on POCUS Echocardiogram ... a patient with Pulmonary ... you'll see the cause ... #POCUS #Clinical ... #cardiology #PLAX
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
young patient with fever ... #Clinical #POCUS ... #Echocardiogram ... #PLAX #Infective ... #Endocarditis #
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... chronic illness, clinical ... with cough and fever ... Pulmonary hemorrhage ... #Radiology #CXR
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
w/ septic pulmonary ... • Persistent fever ... • Aggressive management ... Internet Book of Critical ... criticalcare #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Cerebral > Splenic, pulmonary ... Persistent bacteremia/fevers ... #diagnosis #management ... #cardiology