16 results
HIV patient with sepsis - Infective endocarditis and vegetation

- Jaime Alejandro Sánchez Gutiérrez
@J_AlejandroMD

#Clinical #POCUS #Echocardiogram #A4C
endocarditis and ... vegetation - ... Clinical #POCUS #Echocardiogram ... #A4C #Infective ... Vegetations
Mitral Valve Vegetation Echocardiogram
Juicy vegetation on a mitral valve.

31% S. Aureus (IVDUs, IV lines)
17% Strep viridans
11%
Echocardiogram ... Juicy vegetation ... #Endocarditis # ... Infective #Clinical ... #Echocardiogram
Non-Infective Endocarditis (NBTE / Marantic Endocarditis)
Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
Non-Infective Endocarditis ... valve leaflet • Vegetations ... left-sided heart valves ... inflammation at vegetation ... vegetation on echo
Mitral Valve Vegetation on Echocardiogram

Since people liked yesterday's MV vegetation, & IE was a hot topic
Mitral Valve Vegetation ... on Echocardiogram ... #Endocarditis # ... Infective #Clinical ... #Echocardiogram
Non-Infective Endocarditis - Pathophysiology
Non-infective Endocarditis Pathophysiology:
 • Valves usually undamaged - Etiology poorly understood but thought
Non-Infective Endocarditis ... Pathophysiology Non-infective ... : • Valves usually ... failure is rare Infective ... and propagate → Vegetation
Relative Risk of Various Predisoosing Conditions for Infective Endocarditis 
High Risk:
 - Prosthetic valves 
 -
Conditions for Infective ... Endocarditis ... - Prosthetic valves ... Coarctation of the aorta ... endocarditis
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
Duke's Criteria for Infective ... Endocarditis Definite ... Pathologic lesions - vegetation ... histology of a vegetation ... involvement - Echocardiogram
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 ... left-sided heart valves ... #comparison #infective
Figure. An approach to the diagnostic use of echocardiography (echo). Rx indicates prescription; TEE, transesophageal
echocardiography; and
other stigmata of infective ... endocarditis (IE ... prosthetic heart valves ... large or mobile vegetations ... Transesophageal #Echocardiogram
24 yo M sent from clinic to ED for + blood cultures. POCUS shows aortic valve
shows aortic valve vegetation ... Clinical #POCUS #Echocardiogram ... #AorticValve #Aorta ... #Vegetation #Endocarditis