23 results
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Pregnancy • Fever ... Heart Disease Pulmonary ... • Rheumatic Fever ... • Rheumatic Fever ... • Rheumatic Fever
Mitral valve endocarditis complicated by an abscess - Echocardiogram

Ivan Stankovic, MD, PhD @ https://twitter.com/Ivan_Echocardio

#MitralValve #Mitral #Valve
Mitral valve endocarditis ... - Echocardiogram ... #abscess #Echocardiogram ... #POCUS #Clinical ... #Cardiology #A2C
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
Leaflet: Rheumatic fever ... , Infective endocarditis ... tendineae: Rheumatic fever ... annulus: Rheumatic fever ... differential #diagnosis #cardiology
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Fever in Returning ... , infective endocarditis ... melioidosis, typhoid, pulmonary ... eosinophilia - Tropical pulmonary ... mononucleosis, infective endocarditis
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 ... #POCUS #Echocardiogram ... #clinical #cardiology
PCI Stent Coronary Abscess - Infective Pseudoaneurysm on Echocardiogram

PCI Stent Coronary Abscess - Infective Pseudoaneurysm after
Pseudoaneurysm on Echocardiogram ... High grade fever ... Pseudoaneurysm #Echocardiogram ... #POCUS #clinical ... #cardiology
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Hyperthyroidism Fever ... • Rheumatic fever ... SLE, Rheumatic fever ... • New murmur, fever ... , Rheumatic fever
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Involves aortic and mitral ... regurgitation ... night sweats, fever ... Cerebral > Splenic, pulmonary ... Persistent bacteremia/fevers
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
w/ septic pulmonary ... consultation • Valve regurgitation ... • Myocardial abscess ... • Persistent fever ... arthritis, splenic abscess
Complex mitral valve endocarditis with pericardial effusion, myocardial abscess, and reduced LV systolic function - Echocardiogram
Complex mitral valve ... endocarditis with ... #myocardial #abscess ... #clinical #cardiology ... #pocus