11 results
This 24M presented with acute onset CP/SOB, hypoxia, HR 150s. What's the diagnosis? Treatment options? Hint:
What's the diagnosis ... this is a rare echo ... Thrombus in transit ... #Clinical #POCUS ... #Clots #InTransit
Cool echo - RV strain, McConnell sign, and CLOT IN TRANSIT!! BP is normal and pt
Cool echo - RV strain ... What's your management ... #Clinical #POCUS ... Pulmonary #Embolism #Thrombus ... #Clots #InTransit
Non-Infective Endocarditis (NBTE / Marantic Endocarditis)
Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
vegetation on echo ... signs/symptoms or echo ... demonstration of platelet thrombi ... is required for diagnosis ... NBTE #Marantic #diagnosis
IVC Thrombus on POCUS 

The echo moving independently within the IVC likely represents an IVC thrombus
If
IVC Thrombus on ... POCUS The echo ... represents an IVC thrombus ... #POCUS #clinical ... ultrasound #VTE #InTransit
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... Consider repeat echo ... • Aggressive management ... #criticalcare #diagnosis ... #management
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
signs/symptoms or echo ... specific to NBTE, and diagnosis ... demonstration of platelet thrombi ... is required for diagnosis ... NBTE #Marantic #diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... Differential Diagnosis ... Diagnosis? ... cultures • 2D Echo ... #diagnosis #management
This is the bedside Echo of a critically ill young lady who was transferred in profound
Her working diagnoses ... scenario made the diagnosis ... EM_RESUS #Clinical #POCUS ... MassivePE #Embolism #Thrombus ... #Clots #InTransit
Endocarditis - Diagnosis and Management Summary
What is it? Inflammation of endocardium, typically secondary to infection of
Endocarditis - Diagnosis ... and Management ... typical bacteria, ECHO ... Immunologic phenomena, ECHO ... #Diagnosis #Summary
Normal Deep Veins on POCUS
This patient had no thrombus seen in bilateral proximal compression scan from
Deep Veins on POCUS ... patient had no thrombus ... Has spont echo contrast ... and pursue other diagnoses ... Leg #Veins #DVT #POCUS