62 results
Mitral valve endocarditis complicated by an abscess - Echocardiogram

Ivan Stankovic, MD, PhD @ https://twitter.com/Ivan_Echocardio

#MitralValve #Mitral #Valve
Mitral valve endocarditis ... complicated by an abscess ... #endocarditis # ... abscess #Echocardiogram ... #POCUS #Clinical
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
rickettsioses, amebic abscess ... infection, infective endocarditis ... , amebic liver abscess ... , amebic liver abscess ... mononucleosis, infective endocarditis
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
infection • Abscess ... • Hepatic abscess ... • Leptospirosis ... • Malaria • Leptospirosis ... Liver or lung abscess
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... Hypercoagulable states • Clinical ... features: Fever ... features: Fever ... common, Aortic root abscess
Aortic and Mitral Valve Vegetations in Endocarditis on POCUS - PLAX

Why would this 30 y/o male
Aortic and Mitral Valve ... Vegetations in Endocarditis ... on POCUS - PLAX ... #Vegetations #Endocarditis ... #POCUS #PLAX #clinical
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
syndrome • Aortic Valve ... Endocarditis + ... Abscess • Sick ... • Post cardiac/Valve ... Babesiosis • Leptospirosis
Prosthetic Mitral Valve Endocarditis - No bueno!

- Dr. Said Alsidawi @AlsidawiMD

#Prosthetic #MitralValve #Endocarditis #Echocardiogram #POCUS #Clinical
Prosthetic Mitral Valve ... Endocarditis - ... #MitralValve #Endocarditis ... Echocardiogram #POCUS ... #Clinical #Ultrasound
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... Hypercoagulable (APLAS) Microbiology ... Influenza Prosthetic Valve ... night sweats, fever ... Persistent bacteremia/fevers
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
consultation • Valve ... • Myocardial abscess ... • Persistent fever ... growth or worsening valve ... Internet Book of Critical
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
• Typhoid Fever ... • Malaria • Leptospirosis ... • Yellow Fever ... CLINICAL UTILITY ... limited predictive value