12 results
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
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 ... Sign #Pulmonary #Embolism ... #Thrombus #Clots
Non-Infective Endocarditis (NBTE / Marantic Endocarditis)
Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
and likely to embolize ... vegetation on echo ... signs/symptoms or echo ... , and diagnosis ... demonstration of platelet thrombi
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
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
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
with multiple embolic ... Consider repeat echo ... • Aggressive management ... #criticalcare #diagnosis ... #management
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... Non-Infectious (NTBE ... ) Diagnosis: ... cultures • 2D Echo ... #Differential #Diagnosis
This is the bedside Echo of a critically ill young lady who was transferred in profound
Her working diagnoses ... EM_RESUS #Clinical #POCUS ... A4C #MassivePE #Embolism ... #Thrombus #Clots ... #InTransit
Lemierre's Syndrome on Neck POCUS with IJ Thrombosis - Transverse View

Male with high fever and right
Syndrome on Neck POCUS ... Differential/diagnosis ... On ultrasound note ... the thrombus in ... Had septic emboli
Tricuspid Valve Endocarditis on POCUS

This is the bedside Echo of a critically ill young lady who
Tricuspid Valve Endocarditis ... on POCUS This ... is the bedside Echo ... blood clots-in-transit ... #POCUS #Clinical