29 results
HIV patient with sepsis - Infective endocarditis and vegetation

- Jaime Alejandro Sánchez Gutiérrez
@J_AlejandroMD

#Clinical #POCUS #Echocardiogram #A4C
sepsis - Infective endocarditis ... and vegetation ... J_AlejandroMD #Clinical ... #POCUS #Echocardiogram ... #Vegetations
Aortic and Mitral Valve Vegetations in Endocarditis on POCUS - PLAX

Why would this 30 y/o male
and Mitral Valve Vegetations ... in Endocarditis ... on POCUS - PLAX ... #Endocarditis # ... POCUS #PLAX #clinical
Mitral Valve Vegetations in Endocarditis - POCUS Echocardiogram

Apical 4-chamber view, a mobile echogenic mass is seen
in Endocarditis ... - POCUS Echocardiogram ... out of the LA POCUS ... #Endocarditis # ... #clinical #cardiology
Mitral Valve Vegetations on Echocardiogram

Surgery may be considered in pts with large (>15 mm) isolated aortic
Mitral Valve Vegetations ... aortic or mitral vegetations ... #endocarditis # ... Echocardiogram #clinical ... #cardiology #pocus
Mitral Valve Vegetations on Echocardiogram (PLAX)

Surgery may be considered in pts with large (>15 mm) isolated
Mitral Valve Vegetations ... aortic or mitral vegetations ... #endocarditis # ... Echocardiogram #clinical ... #cardiology #pocus
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... suspect right-sided endocarditis ... • Persistent fever ... Internet Book of Critical ... Care #Endocarditis
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... features: Fever ... false-negative results: vegetation ... already embolised, Vegetations ... features: Fever
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... #POCUS give you ... Here you see a vegetation ... #MitralValve #Endocarditis ... #clinical #cardiology
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
for Infective Endocarditis ... Pathologic lesions - vegetation ... demonstrating active endocarditis ... histology of a vegetation ... Predisposition • Fever
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
consistent with a vegetation ... secondary to endocarditis ... young patient with fever ... #Clinical #POCUS ... #MitralValve #Vegetation