11 results
Tricuspid Valve Endocarditis on Echocardiogram (a4c)

TV endocarditis in a patient with small, restrictive VSD

Ivan Stankovic, MD,
Echocardiogram (a4c ... small, restrictive VSD ... #vegetation #a4c ... #vsd #Echocardiogram ... clinical #cardiology #pocus
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... that may lead to infarction ... Paradoxical emboli via ASD ... Criteria • ↑ ESR ... block, annular or aortic
Post Myocardial Infarction VSD on POCUS Echocardiogram

Older female with hx of severe GERD. Worsening over 8
Post Myocardial Infarction ... VSD on POCUS Echocardiogram ... RJonesSonoEM #PostMI #VSD ... SeptalRupture #pocus ... #plax
Post Myocardial Infarction VSD on POCUS Echocardiogram (Color Doppler)

Older female with hx of severe GERD. Worsening
Post Myocardial Infarction ... VSD on POCUS Echocardiogram ... RJonesSonoEM #PostMI #VSD ... SeptalRupture #pocus ... #plax #color #doppler
Post Myocardial Infarction VSD on POCUS Echocardiogram - Apical 4 chamber view

Older female with hx of
Post Myocardial Infarction ... VSD on POCUS Echocardiogram ... RJonesSonoEM #PostMI #VSD ... SeptalRupture #pocus ... #a4c
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... diagnosis = vasculitis vs ... infection vs malignancy ... To correct ESR for ... the “Chewing gum test
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Skin exam for infection ... determine if stress test ... risk (>5%): - Aortic ... - Cataract Plan ... Severe Aortic stenosis
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Ovarian CA, involves aortic ... Paradoxical emboli via ASD ... that may lead to infarction ... Criteria • ↑ ESR ... block, annular or aortic
Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of
Hypokinesis on POCUS ... VSS. ... following is the best ... #Hypokinesis #POCUS ... clinical #cardiology #PSAX
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Echocardiogram (A4C ... What are the next POCUS ... evidence of artefact vs ... then the next tests ... are not POCUS: