11 results
Mitral Valve Vegetation Echocardiogram
Juicy vegetation on a mitral valve.

31% S. Aureus (IVDUs, IV lines)
17% Strep viridans
11%
Mitral Valve Vegetation ... Echocardiogram ... on a mitral valve ... #Vegetation #Endocarditis ... #Infective #Clinical
Mitral Valve Vegetation on Echocardiogram

Since people liked yesterday's MV vegetation, & IE was a hot topic
Mitral Valve Vegetation ... on Echocardiogram ... #Vegetation #Endocarditis ... #Infective #Clinical ... #Valve
Relative Risk of Various Predisoosing Conditions for Infective Endocarditis 
High Risk:
 - Prosthetic valves 
 -
- Prosthetic valves ... - Aortic valve ... disease - Mitral ... regurgitation ... Cardiology #Diagnosis #Differential
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
Rheumatic fever, Infective ... endocarditis, Myxomatous ... • Prosthetic valve ... annulus valve: ... #differential #diagnosis
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
Clips 1 and 2 demonstrate ... a mobile mitral ... with a vegetation ... Clinical #POCUS #Echocardiogram ... #PLAX #Infective
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
stenosis - Infective ... /marantic endocarditis ... Vegetations seen ... valve - Secondary ... #Mitral #Regurgitation
Tricuspid Valve Endocarditis on POCUS

This is the bedside Echo of a critically ill young lady who
are infective vegetations ... Left Ventricle (LV ... this underfilled LV ... think: tricuspid regurgitation ... POCUS #Clinical #Echocardiogram
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... Whipple's disease Infective ... endocarditis (vegetations ... atrial myxoma)/ball valve ... Causes #diagnosis #differential
Endocarditis Summary

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

Pulse pressure is the difference between the systolic blood
sclerosis (both heart valve ... Heart Failure • Infective ... Endocarditis ... • Mitral Regurgitation ... • Mitral Stenosis