10 results
Mitral valve endocarditis complicated by an abscess - Echocardiogram

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

#MitralValve #Mitral #Valve
Mitral valve endocarditis ... Stankovic, MD, PhD ... #endocarditis # ... #POCUS #Clinical ... #Cardiology #A2C
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... #A4c #clinical ... #cardiology #McConnells
Mitral Valve Vegetations on Echocardiogram

Surgery may be considered in pts with large (>15 mm) isolated aortic
vegetations to prevent embolism ... Stankovic, MD, PhD ... #Vegetations #endocarditis ... Echocardiogram #clinical ... #cardiology #pocus
Mitral Valve Vegetations on Echocardiogram (PLAX)

Surgery may be considered in pts with large (>15 mm) isolated
vegetations to prevent embolism ... Stankovic, MD, PhD ... #Vegetations #endocarditis ... Echocardiogram #clinical ... #cardiology #pocus
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
consultation • Valve ... • Myocardial abscess ... with multiple embolic ... block (+/- daily EKG ... , splenic abscess
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... Influenza Prosthetic Valve ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... • Prosthetic valve ... ↑ ESR, CRP • EKG ... #Endocarditis #Differential ... #Diagnosis #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... See thread for POCUS ... #clinical #cardiology
Marantic Endocarditis 

Epidemiology:
 - Incidence of non-bacterial thrombotic endocarditis (marantic endocarditis if associated with cancer) is
patients with no signs ... /syrnptoms of embolic ... events revealed 19% had ... Clinical Findings ... Diagnosis #Management #Cardiology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
) Suspect: Clinical ... permanent alopecia Differential ... fibromyalgia) • Infections ... • Libman-Sacks endocarditis ... Cytopenias • Cardiac valve