20 results
Tricuspid regurgitation is present on this subxiphoid view of a patient diagnosed with endocarditis. If you
Tricuspid regurgitation ... you can see the vegetation ... #Tricuspid #Valve ... #regurgitation ... cardiology #clinical #echocardiogram
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
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
and Secondary Causes ... • Prosthetic valve ... Mitral annulus valve ... #differential # ... diagnosis #cardiology #causes
Causes of Severe Aortic Regurgitation - Differential Diagnosis
Acute:
 • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
Causes of Severe ... - Differential ... Acute Prosthetic Valve ... #Differential # ... Diagnosis #Causes
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
Functional Mitral Regurgitation ... primary mitral regurgitation ... Vegetations seen ... parachute mitral valve ... #Functional #Differential
Aortitis - Diagnosis and Workup
Clinical History:
 - Fever, weight loss, deterioration of general health
 - Aortic
health - Aortic valve ... regurgitation ... depending on the cause ... Diagnosis #Workup #Differential ... #Causes
Causes of Wide Pulse Pressure - Differential Diagnosis
Physiologic:
 • Advanced age-arteriosclerosis (less compliant arteries)
 • Well
Causes of Wide Pulse ... Pressure - Differential ... - aortic regurgitation ... sclerosis (both heart valve ... #Diagnosis #causes
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... - Most common cause ... endocarditis (vegetations ... atrial myxoma)/ball valve ... #diagnosis #differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
aortic and mitral regurgitation ... Septic Emboli Cause ... Marantic (NTBE) Differential ... Treat underlying cause ... -mm left sided vegetations
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
Pulse Pressure - Differential ... Physiologic Causes ... Pathologic Causes ... sclerosis (both heart valve ... Pathophysiology #causes