14 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
Arrhythmias - Differential Diagnosis Algorithm
May present as: palpitations, dizziness, syncope, chest discomfort
Cardiac Causes:
 - Structural
Arrhythmias - Differential ... Diagnosis Algorithm ... chest discomfort Cardiac ... Structural • Valve ... previous MI) Non-Cardiac
24 yo M sent from clinic to ED for + blood cultures. POCUS shows aortic valve
POCUS shows aortic valve ... vegetation. ... Clinical #POCUS #Echocardiogram ... #Cardiac #PLAX ... AorticValve #Aorta #Vegetation
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
LAA Thrombus), Valve ... (Vegetation, Thrombus ... Angiography or Cardiac ... PFO, ASD, h/o of cardiac ... Embolism #diagnosis #differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... : • New cardiac ... formation • Other vegetations ... Marantic (NTBE) Differential ... -mm left sided vegetations
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Decompensated CHF, Severe Valve ... Pneumothorax, Cardiac ... Sophia_Hayes_MD #Shock #Differential ... #criticalcare #algorithm
Hemolytic Anemia - Differential Diagnosis Algorithm
 • Sickle cells - Consider sickle cell disease (diverse genotypes):
Hemolytic Anemia - Differential ... Diagnosis Algorithm ... aHUS, mechanical cardiac ... valve, vasculitis ... #Diagnosis #Algorithm
Figure. An approach to the diagnostic use of echocardiography (echo). Rx indicates prescription; TEE, transesophageal
echocardiography; and
prosthetic heart valves ... large or mobile vegetations ... Transesophageal #Echocardiogram ... #TTE #TEE #Algorithm
Lambls Excrescences on Echocardiogram
An incidental finding in a young patient with polyneuritis - there is a
Excrescences on Echocardiogram ... on the aortic valve ... Probably also aortic valve ... independent of cardiac ... motion making the vegetation
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Heart Failure - Differential ... Diagnosis Algorithm ... Cardiac Causes ... Cardiomyopathy - Valves ... #Diagnosis #Algorithm