13 results
HIV patient with sepsis - Infective endocarditis and vegetation

- Jaime Alejandro Sánchez Gutiérrez
@J_AlejandroMD

#Clinical #POCUS #Echocardiogram #A4C
vegetation - ... J_AlejandroMD #Clinical #POCUS ... Echocardiogram #A4C ... #Infective #Endocarditis ... #Vegetations
Non-Infective Endocarditis (NBTE / Marantic Endocarditis)
Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
Non-Infective Endocarditis ... , Marantic endocarditis ... valve leaflet • Vegetations ... inflammation at vegetation ... vegetation on echo
This massive burden of tricuspid valve vegetation was caught in a young patient with septic shock.
tricuspid valve vegetation ... Echo ALL shock patients ... Echocardiogram #A4C ... #Tricuspid #Vegetation ... #Endocarditis
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
consultation • Valve regurgitation ... Myocardial abscess • Vegetation ... cultures • Large vegetation ... Consider repeat echo ... (to r/o vegetation
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 ... false-negative results: vegetation ... already embolised, Vegetations ... #NBTE #Marantic
Tricuspid regurgitation is present on this subxiphoid view of a patient diagnosed with endocarditis. If you
Tricuspid regurgitation ... you can see the vegetation ... #Endocarditis #Vegetation ... echocardiogram #ultrasound #POCUS ... #S4C
Endocarditis - Duke Criteria - Major and Minor

MAJOR CRITERIA: 
 - Persistently +ve blood culture for
Endocarditis - Duke ... organisms - ECHO ... : vegetation, dehiscence ... - New valvular regurgitation ... Coxiella burnetii infection
Tricuspid Valve Endocarditis on POCUS

This is the bedside Echo of a critically ill young lady who
is the bedside Echo ... vegetations. ... that left-sided vegetations ... and right-sided vegetations ... Echocardiogram #Ultrasound #Vegetation
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 ... TV #Tricuspid #Vegetations ... POCUS #Echocardiogram
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
aortic and mitral regurgitation ... formation • Other vegetations ... cultures • 2D Echo ... : Emboli > Regurgitation ... -mm left sided vegetations