15 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
Aortitis - Diagnosis and Workup
Clinical History:
 - Fever, weight loss, deterioration of general health
 - Aortic
Diagnosis and Workup ... health - Aortic valve ... depending on the cause ... #Differential # ... 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
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
hypovolaemia or combined causes ... system including valves ... reservoir bag and APL valve ... #Hypotension #Differential ... Diagnosis #Management #Workup
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
LAA Thrombus), Valve ... (Vegetation, Thrombus ... - Most Common Cause ... disease, prosthetic valve ... Embolism #diagnosis #differential
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
should identify any cause ... system including valves ... reservoir bag and APL valve ... Airway #Pressure #Differential ... Diagnosis #Management #Workup
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Septic Emboli Cause ... formation • Other vegetations ... Marantic (NTBE) Differential ... Treat underlying cause ... -mm left sided vegetations
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
Causes of Primary ... Regurgitation (MR) Causes ... Vegetations seen ... parachute mitral valve ... Primary #Functional #Differential
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
microbiological techniques Work-up ... but important causes ... ) of explanted valve ... Endocarditis #diagnosis #differential ... #workup #infectiousdiseases
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
The probable cause ... breathing system valves ... reservoir bag and APL valve ... CardiacArrest #Checklist #Differential ... Diagnosis #Management #Workup