15 results
Non-Infective Endocarditis (NBTE / Marantic Endocarditis)
Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
the surface of valve ... leaflet • Vegetations ... left-sided heart valves ... embolize • Cannot differentiate ... absent How can we differentiate
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 ... secondary to endocarditis ... Clinical #POCUS #Echocardiogram ... #MitralValve #Vegetation
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Direct: Clot (LV ... (Vegetation, Thrombus ... cardiac surgery, endocarditis ... Artery #Embolism #diagnosis ... #differential #
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
for Infective Endocarditis ... Pathologic lesions - vegetation ... histology of a vegetation ... involvement - Echocardiogram ... #diagnosis #major
24 yo M sent from clinic to ED for + blood cultures. POCUS shows aortic valve
POCUS shows aortic valve ... vegetation. ... Also, LV dilation ... Clinical #POCUS #Echocardiogram ... #Endocarditis #
Tricuspid Valve Endocarditis on POCUS

This is the bedside Echo of a critically ill young lady who
Tricuspid Valve ... Endocarditis on ... Left Ventricle (LV ... this underfilled LV ... POCUS #Clinical #Echocardiogram
Tricuspid regurgitation is present on this subxiphoid view of a patient diagnosed with endocarditis. If you
view of a patient diagnosed ... with endocarditis ... #Endocarditis #Vegetation ... #Tricuspid #Valve ... cardiology #clinical #echocardiogram
Stroke Etiologies
Hemorrhagic (IPH, SAH)
Ischemic
 - Large Vessel Atherosclerosis
 - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
fib, prosthetic valves ... , LV aneurysm, Endocarditis ... Stroke #causes #differential ... #diagnosis #neurology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
formation • Other vegetations ... Marantic (NTBE) Differential ... -> TEE • Duke Criteria ... -mm left sided vegetations ... #Endocarditis #diagnosis
Figure. An approach to the diagnostic use of echocardiography (echo). Rx indicates prescription; TEE, transesophageal
echocardiography; and
approach to the diagnostic ... prosthetic heart valves ... large or mobile vegetations ... #Diagnosis #InfectiveEndocarditis ... Transesophageal #Echocardiogram