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cardiology diagnosis endocarditis clinical plax pocus aortic arterial embolism functional hematology infectiousdiseases infective management mitralvalve pathophysiology primary regurgitation stenosis thrombosis
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 ... #MitralValve #Vegetation
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 Causes of mitral stenosis Rheumatic heart disease - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... chordae Severe mitral ... endocarditis (vegetations ... atrial myxoma)/ball valve ... #diagnosis #differential
Causes of Primary and Functional Mitral Regurgitation (MR) Causes of primary mitral regurgitation - Rheumatic heart
Causes of Primary ... disease: Most common cause ... Vegetations seen ... valve - Secondary ... #Functional #Differential
Aortic Valve Endocarditis on POCUS Echocardiogram (PLAX) 50 yo female presents with fever & flu-like symptoms.
on POCUS Echocardiogram ... vegetation (mobile ... EUSmkh #Aortic #aorta ... #POCUS #Echocardiogram ... PLAX #clinical #ultrasound
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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Involves aortic and mitral ... Septic Emboli Cause ... Marantic (NTBE) Differential ... Treat underlying cause ... -mm left sided vegetations
Venous Thrombosis vs Arterial Thrombosis - Differential Diagnosis Framework VENOUS THROMBOSIS • Acquired Risk Factors: - >48 hours
Arterial Thrombosis - Differential ... atheroemboli) • Aorta ... from prosthetic valves ... Infected cardiac valves ... coagulation and other causes
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
- Overview and Differential ... involves aortic and mitral ... Septic emboli cause ... Treat underlying cause ... -mm left sided vegetations
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