12 results
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
Clips 1 and 2 demonstrate ... mobile mitral valve ... consistent with a vegetation ... Clinical #POCUS #Echocardiogram ... #MitralValve #Vegetation
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
consultation • Valve ... growth or worsening valve ... • Aggressive management ... Endocarditis #checklist #criticalcare ... #diagnosis #management
24 yo M sent from clinic to ED for + blood cultures. POCUS shows aortic valve
POCUS shows aortic valve ... vegetation. ... Clinical #POCUS #Echocardiogram ... #AorticValve #Aorta ... #Vegetation #Endocarditis
Aortic Valve Endocarditis on POCUS Echocardiogram (PLAX)
50 yo female presents with fever & flu-like symptoms.
Aortic Valve Endocarditis ... on POCUS Echocardiogram ... vegetation (mobile ... EUSmkh #Aortic #aorta ... #POCUS #Echocardiogram
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Decompensated CHF, Severe Valve ... Sophia_Hayes_MD #Shock #Differential ... #Diagnosis #criticalcare ... algorithm #treatment #management
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... Differential Diagnosis ... CXR, CTA Chest, Echocardiogram ... Workup #diagnosis #Management ... #treatment #criticalcare
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... formation • Other vegetations ... Marantic (NTBE) Differential ... -mm left sided vegetations ... Endocarditis #diagnosis #management
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
the wall of the aorta ... dissection • Aortic valve ... Pulse deficit/differential ... Dissection #diagnosis #management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
dissection of ascending aorta ... into valve ring ... types #diagnosis #management ... #criticalcare # ... differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Failure, Severe Valve ... Classification #diagnosis #management ... #Overview #criticalcare ... #differential #