11 results
HIV patient with sepsis - Infective endocarditis and vegetation

- Jaime Alejandro Sánchez Gutiérrez
@J_AlejandroMD

#Clinical #POCUS #Echocardiogram #A4C
endocarditis and ... vegetation - ... J_AlejandroMD #Clinical ... #POCUS #Echocardiogram ... Vegetations
Non-Infective Endocarditis (NBTE / Marantic Endocarditis)
Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
Non-Infective Endocarditis ... inflammation at vegetation ... vegetation on echo ... signs/symptoms or echo ... high index of clinical
This massive burden of tricuspid valve vegetation was caught in a young patient with septic shock.
tricuspid valve vegetation ... Echo ALL shock patients ... @EM_RESUS #Clinical ... #POCUS #Echocardiogram ... #Endocarditis
Tricuspid Vegetations in Endocarditis on POCUS Echocardiogram (s4c)
There are times you do a bedside echo on
Tricuspid Vegetations ... on POCUS Echocardiogram ... you do a bedside echo ... POCUS #Echocardiogram ... #s4c #clinical
Figure. An approach to the diagnostic use of echocardiography (echo). Rx indicates prescription; TEE, transesophageal
echocardiography; and
echocardiography (echo ... other stigmata of infective ... large or mobile vegetations ... Transesophageal #Echocardiogram ... #TTE #TEE #Algorithm
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
for metastatic infection ... Consider repeat echo ... metastatic foci of infection ... Internet Book of Critical ... #criticalcare #diagnosis
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Differentiating NBTE from Infective ... signs/symptoms or echo ... high index of clinical ... false-negative results: vegetation ... already embolised, Vegetations
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
Endocarditis Definite ... Pathologic lesions - vegetation ... histology of a vegetation ... involvement - Echocardiogram ... diagnosis #major
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
secondary to endocarditis ... #Clinical #POCUS ... #Echocardiogram ... #PLAX #Infective ... #Endocarditis #
Tricuspid Valve Endocarditis on POCUS

This is the bedside Echo of a critically ill young lady who
on POCUS This ... is the bedside Echo ... tricuspid valve are infective ... #POCUS #Clinical ... #Echocardiogram