13 results
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
Tricuspid regurgitation is present on this subxiphoid view of a patient diagnosed with endocarditis. If you
view of a patient diagnosed ... you can see the vegetation ... #Tricuspid #Valve ... cardiology #clinical #echocardiogram ... #ultrasound #POCUS
ASE Recommendations for Evaluation of Prosthetic Valves with Echocardiography and Doppler Ultrasound
Normal Flow Patterns and Essential
of Prosthetic Valves ... Echocardiography and Doppler Ultrasound ... • Prosthetic Mitral ... Echocardiography #echocardiogram ... #cardiology #diagnosis
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... endocarditis (vegetations ... atrial myxoma)/ball valve ... stenosis #Causes #diagnosis ... #differential #
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
X-ray - Lung ultrasound ... RSV, and other viral ... - CBC with differential ... indicated (e.g. echocardiogram ... iBookCC #COVID19 #algorithm
Causes of Urinary Tract Obstruction - Differential Diagnosis Algorithm
Upper Tract - Bladder NOT distended on ultrasound,
Obstruction - Differential ... Diagnosis Algorithm ... NOT distended on ultrasound ... Posterior Urethral valves ... #Diagnosis #Algorithm
Gynecomastia - Differential Diagnosis Algorithm
No Testicular Mass on Ultrasound
 • Adrenal Neoplasm
 • Increased Extraglomerular Aromatase
Gynecomastia - Differential ... Diagnosis Algorithm ... Congenital Anorchia • Viral ... #Gynecomastia #Differential ... #Diagnosis #Algorithm
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
and Functional Mitral ... Vegetations seen ... valve - Secondary ... Primary #Functional #Differential ... #Diagnosis #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... Involves aortic and mitral ... formation • Other vegetations ... Marantic (NTBE) Differential ... -mm left sided vegetations
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 ... Transesophageal #Echocardiogram ... #TTE #TEE #Algorithm