17 results
Clinical Features of Infective Endocarditis

General 
 - Malaise 
 - Clubbing 

Cardiac 
 - Murmurs
Clinical Features ... of Infective Endocarditis ... Neurological - Cerebral emboli ... #Symptoms #Signs ... #PhysicalExam #Diagnosis
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... /symptoms or echo ... high index of clinical ... is required for diagnosis ... left-sided heart valves
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... can suggest the diagnosis ... feeding vessel sign ... #Clinical #Radiology ... SepticEmboli #Cavity #RadiologyAssistant
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Feeding Vessel Sign ... on Chest CT • ... • DDx: Septic emboli ... #diagnosis #radiology ... #clinical
Non-Infective Endocarditis (NBTE / Marantic Endocarditis)
Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
left-sided heart valves ... and likely to embolize ... pathognomonic signs ... /symptoms or echo ... high index of clinical
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
patient who had a CT ... out pulmonary embolism ... The diagnosis based ... #Clinical #Radiology ... SeptalThickening #CHF #RadiologyAssistant
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... RV, McConnell's sign ... #A4c #clinical ... #cardiology #McConnells ... #sign #ClotInTransit
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
Tricuspid Valve Endocarditis ... on POCUS Echocardiogram ... have lung septic emboli ... (see CT cor image ... #clinical #cardiology
Marantic Endocarditis 

Epidemiology:
 - Incidence of non-bacterial thrombotic endocarditis (marantic endocarditis if associated with cancer) is
patients with no signs ... /syrnptoms of embolic ... Clinical Findings ... #Diagnosis #Management ... #Cardiology
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... Diagnosis concerning ... for Pulmonary Embolism ... #A4C #clinical ... #ultrasound #cardiology