13 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
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
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Classification and Differential ... Decompensated CHF, Severe Valve ... Pneumothorax, Cardiac ... Classification #Differential ... Diagnosis #Types #criticalcare
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 ... #Diagnosis #criticalcare
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
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
myocarditis, etc), Valves ... Pneumothorax, Cardiac ... pancreatitis, post-cardiac ... Shock #diagnosis #differential ... guyton #curves #criticalcare
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
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... ascending aorta into valve ... pneumothorax, cardiac ... diagnosis #management #criticalcare ... #differential
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
- Overview and Differential ... • Prosthetic valve ... formation • Other vegetations ... -mm left sided vegetations ... #Endocarditis #Differential