16 results
Mitral Valve Vegetation Echocardiogram
Juicy vegetation on a mitral valve.

31% S. Aureus (IVDUs, IV lines)
17% Strep viridans
11%
Mitral Valve Vegetation ... Echocardiogram ... on a mitral valve ... #Vegetation #Endocarditis ... #Infective #Clinical
Mitral Valve Vegetation on Echocardiogram

Since people liked yesterday's MV vegetation, & IE was a hot topic
Mitral Valve Vegetation ... on Echocardiogram ... #Vegetation #Endocarditis ... #Infective #Clinical ... #Valve
Relative Risk of Various Predisoosing Conditions for Infective Endocarditis 
High Risk:
 - Prosthetic valves 
 -
- Prosthetic valves ... - Aortic valve ... disease - Mitral ... Coarctation of the aorta ... Cardiology #Diagnosis #Differential
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
and Secondary Causes ... • Prosthetic valve ... annulus valve: ... cardiomyopathy - VA Joint ... Regurgitation #differential
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
Clips 1 and 2 demonstrate ... a mobile mitral ... with a vegetation ... Clinical #POCUS #Echocardiogram ... #PLAX #Infective
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... Whipple's disease Infective ... endocarditis (vegetations ... atrial myxoma)/ball valve ... #diagnosis #differential
Causes of Severe Aortic Regurgitation - Differential Diagnosis
Acute:
 • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
Causes of Severe ... Regurgitation - Differential ... Endocarditis, Acute ... Prosthetic Valve ... : Infective Endocarditis
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Pain - Differential ... Polyarticular Join ... • Endocarditis ... #Orthopedics #Causes
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
stenosis - Infective ... /marantic endocarditis ... Vegetations seen ... valve - Secondary ... #Functional #Differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... Involves aortic and mitral ... formation • Other vegetations ... Marantic (NTBE) Differential ... -mm left sided vegetations