58 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 ... causes, not limited to ... MVP, subacute endocarditis ... Assess for MR when
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... on POCUS Echocardiogram ... with petechiae to ... #MitralValve #Endocarditis ... #POCUS #Echocardiogram
Mitral Valve Vegetations on Echocardiogram

Surgery may be considered in pts with large (>15 mm) isolated aortic
Vegetations on Echocardiogram ... mitral vegetations to ... #Vegetations #endocarditis ... #Valve #psax #Echocardiogram ... clinical #cardiology #pocus
Mitral Valve Vegetations on Echocardiogram (PLAX)

Surgery may be considered in pts with large (>15 mm) isolated
Vegetations on Echocardiogram ... mitral vegetations to ... #Vegetations #endocarditis ... #Valve #plax #Echocardiogram ... clinical #cardiology #pocus
Complex mitral valve endocarditis with pericardial effusion, myocardial abscess, and reduced LV systolic function - Echocardiogram
Complex mitral valve endocarditis ... effusion, myocardial abscess ... #myocardial #abscess ... #plax #Echocardiogram ... clinical #cardiology #pocus
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
• Myocardial abscess ... Consider repeat echo (to ... • Aggressive management ... arthritis, splenic abscess ... criticalcare #diagnosis #management
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
Differential Diagnosis Algorithm ... Infective Endocarditis ... Disruption • Trauma to ... Syndrome, Infective Endocarditis ... blood vessels • Abscess
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
inflammation and possible abscess ... suggests perivalvular abscess ... annular or aortic abscess ... Complications: Abscess ... #diagnosis #management
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
Algorithm • Temperature ... Responds quickly to ... metastatic infection (endocarditis ... , epidural abscess ... #Algorithm #CRBSI