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cardiology clinical echocardiogram nbte mitralvalve pathophysiology plax regurgitation vegetation causes checklist comparison criteria criticalcare differential duke functional mitral primary s4c
Non-Infective Endocarditis (NBTE / Marantic Endocarditis) Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
Non-Infective Endocarditis ... Endocarditis) Non-infective ... , Marantic endocarditis ... the surface of valve ... @ID_fellows #NonInfective
Non-Infective Endocarditis - Pathophysiology Non-infective Endocarditis Pathophysiology: • Valves usually undamaged - Etiology poorly understood but thought
Non-Infective Endocarditis ... Pathophysiology Non-infective ... and propagate → Vegetation ... @ID_fellows #NonInfective ... NBTE #Marantic #
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Differentiating NBTE from Infective ... false-negative results: vegetation ... already embolised, Vegetations ... @ID_fellows #NonInfective ... #NBTE #Marantic
Mitral Valve Endocarditis on POCUS Echocardiogram 66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... Here you see a vegetation ... #MitralValve #Endocarditis ... clinical #cardiology #a4c ... #plax
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 Marantic Endocarditis Epidemiology: - Incidence of non-bacterial thrombotic endocarditis (marantic endocarditis if associated with cancer) is
Marantic Endocarditis ... (marantic endocarditis ... Vegetations mostly ... just sit on valve ... Diagnosis #Management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Prosthetic valve ... formation • Other vegetations ... -mm left sided vegetations ... #Endocarditis #diagnosis ... #management #cardiology
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
for metastatic infection ... consultation • Valve ... growth or worsening valve ... #criticalcare #diagnosis ... #management
What's the Dx? • 29-year-old male • Transfer community hospital • Hypotension • Renal failure • Altered mental status.
consistent with a vegetation ... secondary to endocarditis ... #Clinical #POCUS ... Echocardiogram #PLAX ... #Infective #Endocarditis
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 Tricuspid regurgitation is present on this subxiphoid view of a patient diagnosed with endocarditis. If you
view of a patient diagnosed ... with endocarditis ... #Endocarditis #Vegetation ... echocardiogram #ultrasound #POCUS ... #S4C
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 Endocarditis - Diagnosis and Management Summary What is it? Inflammation of endocardium, typically secondary to infection of
Endocarditis - Diagnosis ... and Management ... typically secondary to infection ... of heart valves ... bacteria, ECHO w/ vegetation
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