26 results
HIV patient with sepsis - Infective endocarditis and vegetation

- Jaime Alejandro Sánchez Gutiérrez
@J_AlejandroMD

#Clinical #POCUS #Echocardiogram #A4C
sepsis - Infective endocarditis ... and vegetation ... J_AlejandroMD #Clinical #POCUS ... #Echocardiogram ... #Vegetations
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
for Infective Endocarditis ... Pathologic lesions - vegetation ... demonstrating active endocarditis ... histology of a vegetation ... involvement - Echocardiogram
Mitral Valve Vegetations on Echocardiogram

Surgery may be considered in pts with large (>15 mm) isolated aortic
Mitral Valve Vegetations ... on Echocardiogram ... #endocarditis # ... #Valve #psax #Echocardiogram ... clinical #cardiology #pocus
Mitral Valve Vegetations on Echocardiogram (PLAX)

Surgery may be considered in pts with large (>15 mm) isolated
Mitral Valve Vegetations ... on Echocardiogram ... #endocarditis # ... #Valve #plax #Echocardiogram ... clinical #cardiology #pocus
Mitral Valve Vegetations in Endocarditis - POCUS Echocardiogram

Apical 4-chamber view, a mobile echogenic mass is seen
in Endocarditis ... - POCUS Echocardiogram ... out of the LA POCUS ... #Endocarditis # ... POCUS #Echocardiogram
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
from Infective Endocarditis ... negative blood cultures ... false-negative results: vegetation ... already embolised, Vegetations ... common, Aortic root
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... on POCUS Echocardiogram ... Here you see a vegetation ... #MitralValve #Endocarditis ... #POCUS #Echocardiogram
Endocarditis - Large Mitral Valve Vegetation on POCUS Echocardiogram

Dr. Bobby Yanagawa @BobbyYanagawa

#Endocarditis #Mitral #Vegetation #POCUS #valve
Endocarditis - Large ... Mitral Valve Vegetation ... on POCUS Echocardiogram ... #Mitral #Vegetation ... #POCUS #valve #
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Hypercoagulable (APLAS) Microbiology ... : Blood cultures ... Generalized: • Chills ... formation • Other vegetations ... -mm left sided vegetations
24 yo M sent from clinic to ED for + blood cultures. POCUS shows aortic valve
ED for + blood cultures ... POCUS shows aortic ... valve vegetation ... #Echocardiogram ... #Endocarditis #