18 results
Mitral valve endocarditis complicated by an abscess - Echocardiogram

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

#MitralValve #Mitral #Valve
Mitral valve endocarditis ... complicated by an abscess ... - Echocardiogram ... #abscess #Echocardiogram ... #POCUS #Clinical
Ruptured Chordae Tendineae on POCUS Echocardiogram
 
Many underlying causes, not limited to: MVP, subacute endocarditis, connective
Chordae Tendineae on POCUS ... Echocardiogram ... MVP, subacute endocarditis ... Assess for MR when ... #Ultrasound #Clinical
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
for Infective Endocarditis ... or intracardiac abscess ... or intracardiac abscess ... involvement - Echocardiogram ... #diagnosis #major
Complex mitral valve endocarditis with pericardial effusion, myocardial abscess, and reduced LV systolic function - Echocardiogram
Complex mitral valve endocarditis ... effusion, myocardial abscess ... #myocardial #abscess ... #clinical #cardiology ... #pocus
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
• Myocardial abscess ... • Aggressive management ... Internet Book of Critical ... #criticalcare #diagnosis ... #management
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
Spinal Epidural Abscess ... , HD catheter, endocarditis ... most common (63%) Clinical ... dysfunction paralysis Diagnosis ... #diagnosis #management
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
dislocation; remember, assess ... I or Ill) • Ortho ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Proximal #MSK
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
due to SAM on POCUS ... Echocardiogram ... Diagnosis? ... Management? ... Cardiology #PLAX #clinical
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... PIP joint • Ortho ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
POCUS Stewardship
Right Indication - Right Interpretation -Right Integration
Indication → Pre-test Probability → Spectrum of Disease →
Ratio Step 1: Clinical ... with a focused clinical ... & Specificity Assess ... #ultrasound #management ... #diagnosis