15 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 ... #Infective #Clinical ... #Echocardiogram
Mitral Valve Vegetation on Echocardiogram

Since people liked yesterday's MV vegetation, & IE was a hot topic
Mitral Valve Vegetation ... on Echocardiogram ... #Infective #Clinical ... #Echocardiogram ... #Valve
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
Mitral Valve Infective Endocarditis on POCUS Echocardiogram

IE & HIV & CD4<100 - Oh My!! Time for
Mitral Valve Infective ... Endocarditis on POCUS Echocardiogram ... - VCU Ultrasound ... #MitralValve #Infective ... Endocarditis #POCUS #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 ... #diagnosis #differential
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
and Secondary Causes ... • Prosthetic valve ... annulus valve: ... Regurgitation #differential ... diagnosis #cardiology #causes
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
disease: Most common cause ... stenosis - Infective ... Vegetations seen ... valve - Secondary ... #Functional #Differential
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
Yellow Fever • Viral ... limited predictive value ... the most likely infection ... help hone your differential ... Dissociation #diagnosis #differential
Causes of Thrombocytopenia - Differential Diagnosis Framework
Decreased Production:
 - Drugs (chemo, yang, sulfa, acetaminophen, NSAIDs, quinine,
Causes of Thrombocytopenia ... - Differential ... quinine, etc) - Viral ... infiltration: malignancy, infection ... - Mechanical: valve
Tricuspid Valve Endocarditis on POCUS

This is the bedside Echo of a critically ill young lady who
Tricuspid Valve ... the tricuspid valve ... are infective vegetations ... POCUS #Clinical #Echocardiogram ... #Ultrasound #Vegetation