16 results
Mitral Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.

Dr. Robert Jones @RJonesSonoEM

#MitralValve
on POCUS Echocardiogram ... presents with fever ... #POCUS #Echocardiogram ... #clinical #cardiology ... #plax
Echocardiogram Windows - Nomenclature
Each view is described using three (3) components
1) Transducer Position or "Window"
(3) components 1) ... A: Apical SC ... Aortic valve (AV) level ... #Nomenclature #POCUS ... #cardiology #views
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 ... #POCUS #Echocardiogram ... #ultrasound #cardiology
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
or intracardiac abscess ... or intracardiac abscess ... involvement - Echocardiogram ... Predisposition • Fever ... #diagnosis #major
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
+ Abscess • Sick ... Diptheria • Typhoid fever ... Acute rheumatic fever ... Psittacosis • Q fever ... • Yellow fever
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
on POCUS Echocardiogram ... presents with fever ... #POCUS #Echocardiogram ... #clinical #cardiology ... #s4c
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
Clips 1 and 2 demonstrate ... young patient with fever ... #Clinical #POCUS ... #Echocardiogram ... #PLAX #Infective
Parasternal Short Axis (PSAX) at the level of the Aortic Valve

Phased array transducer; parasternal short axis/indicator
) at the level of ... This view helps assess ... heart strain (pulmonary ... #echocardiogram ... #POCUS #labeled
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 ... Diagnosis? ... Persistent bacteremia/fevers ... #cardiology
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Pericarditis on POCUS ... Echocardiogram ... you see on this SC ... Had diagnostic tap-fever ... #clinical #cardiology