17 results
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 ... , and diagnosis ... demonstration of platelet thrombi ... is required for diagnosis
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
IVC Thrombus on POCUS
IVC TRV sweep-proximal to distal. Note IVC thrombus. Key point with POCUS compression
IVC Thrombus on ... Note IVC thrombus ... Key point with POCUS ... #VenaCava #POCUS ... ultrasound #vascular #InTransit
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
signs/symptoms or echo ... , and diagnosis ... demonstration of platelet thrombi ... is required for diagnosis ... #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
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Non-Infectious (NTBE ... 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
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Pericarditis on POCUS ... Note the septal ... Had echo done one ... Had diagnostic tap-fever ... Pericarditis #CP #POCUS