17 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
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
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 ... algorithm #treatment #management
Marantic Endocarditis 

Epidemiology:
 - Incidence of non-bacterial thrombotic endocarditis (marantic endocarditis if associated with cancer) is
revealed 19% had cardiac ... valvular vegetations ... Vegetations mostly ... just sit on valve ... Endocarditis #Diagnosis #Management
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
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
dissection • Aortic valve ... disease • Cardiac ... Pulse deficit/differential ... Dissection #diagnosis #management
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
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... reservoir bag and APL valve ... consider: o Cardiac ... #Hypotension #Differential ... Checklist #Diagnosis #Management