22 results
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
Clips 1 and 2 demonstrate ... consistent with a vegetation ... #Clinical #POCUS ... #Echocardiogram ... #MitralValve #Vegetation
Non-Infective Endocarditis (NBTE / Marantic Endocarditis)
Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
the surface of valve ... left-sided heart valves ... embolize • Cannot differentiate ... absent How can we differentiate ... high index of clinical
24 yo M sent from clinic to ED for + blood cultures. POCUS shows aortic valve
yo M sent from clinic ... POCUS shows aortic valve ... vegetation. ... #POCUS #Echocardiogram ... #Cardiac #PLAX
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... and Differential ... Diagnosis SHOCK ... Decompensated CHF, Severe Valve ... Pneumothorax, Cardiac
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
(Vegetation, Thrombus ... Angiography or Cardiac ... PFO, ASD, h/o of cardiac ... Artery #Embolism #diagnosis ... #differential #
Tricuspid regurgitation is present on this subxiphoid view of a patient diagnosed with endocarditis. If you
view of a patient diagnosed ... you can see the vegetation ... #Tricuspid #Valve ... regurgitation #cardiology #clinical ... #echocardiogram
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 Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... ascending aorta into valve ... pneumothorax, cardiac ... #types #diagnosis ... #criticalcare #differential
Lambls Excrescences on Echocardiogram
An incidental finding in a young patient with polyneuritis - there is a
Excrescences on Echocardiogram ... on the aortic valve ... independent of cardiac ... motion making the vegetation ... #clinical #cardiology
Marantic Endocarditis 

Epidemiology:
 - Incidence of non-bacterial thrombotic endocarditis (marantic endocarditis if associated with cancer) is
revealed 19% had cardiac ... valvular vegetations ... Clinical Findings ... Vegetations mostly ... #Endocarditis #Diagnosis