13 results
Infective endocarditis - etiology and sources of infection. 
 • Native and prosthetic 
valve endocarditis
 •
Infective endocarditis ... • Native and ... prosthetic valve endocarditis ... #Sources #Causes ... #Differential #Microbiology
Causes of blood culture negative infective endocarditis

Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
culture negative ... infective endocarditis ... #culture #negative ... #Endocarditis # ... InfectiousDiseases #Microbiology
Ruptured Chordae Tendineae on POCUS Echocardiogram
 
Many underlying causes, not limited to: MVP, subacute endocarditis, connective
Chordae Tendineae on POCUS ... Echocardiogram ... Many underlying causes ... MVP, subacute endocarditis ... #Echocardiogram
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
Streptocccus Pneumoniae Microbiology ... Alpha-hemolytic, Catalase Negative ... • Most common cause ... media • Important cause ... peritonitis, and endocarditis
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
serology: Serial negative ... Frequent false-negative ... cultures/serology: + (Negative ... in up to 30% of cases ... #comparison #infective
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Hypercoagulable (APLAS) Microbiology ... positive in 90% of IE cases ... • Coagulase-negative ... Septic Emboli Cause ... Treat underlying cause
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
Using IV heroin • Negative ... vegetation secondary to endocarditis ... #Clinical #POCUS ... #Echocardiogram ... PLAX #Infective #Endocarditis
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Hypercoagulable (APLAS) Microbiology ... aureus, Coagulase-negative ... staphylococci Culture Negative ... Septic emboli cause ... Treat underlying cause
Aortic Valve Chordae Tendinae causing Aortic Regurgitation
In cases of significant aortic regurgitation without endocarditis or significant
Regurgitation In cases ... regurgitation without endocarditis ... are rare, but cause ... ChordaeTendinae #echocardiogram ... #clinical #pocus
Apical variant HCM - Importance of Acoustic Mismatch (CMR vs TTE)

Detailed Case Review: https://www.youtube.com/watch?v=2853TSxaeh4

V.L.Sorrell, MD @VLSorrellImages

#Apical
TTE) Detailed Case ... cardiacmri #CMR #comparison ... #Echocardiogram ... clinical #cardiology #pocus