10 results
Marantic Endocarditis on Echocardiogram 

Not all endocarditis is infectious: marantic endocarditis in a 36 year old
on Echocardiogram ... in a 36 year old ... with metastatic lung ... #Echocardiogram ... #POCUS #clinical
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
• 29-year-old male ... Clips 1 and 2 demonstrate ... #Clinical #POCUS ... #Echocardiogram ... PLAX #Infective #Endocarditis
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
or the anterior chest ... increases and ILD ... anti-NXP2 Abs Lung ... Phenotype 1 ... Dermatomyositis #rheumatology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Non-autoimmune rheumatologic ... • Acute lupus pneumonitis ... • Libman-Sacks endocarditis ... • ANA titers > 1: ... Ro/La, anti-Jo-1,
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
Amiodarone Induced Lung ... Direct cytotoxic lung ... including: 1. ... Pleuritic chest ... Exclusion of other ILDs
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
left atrium on Echocardiogram ... sinus rhythm... 1. ... Long chronic severe ... #atrium #a4c #Echocardiogram ... clinical #cardiology #pocus
Tricuspid Valve Endocarditis on POCUS

This is the bedside Echo of a critically ill young lady who
on POCUS This ... of a critically ill ... embolize to the lungs ... CT chest confirmed ... #Echocardiogram
Anti-NXP-2 Dermatomyositis

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
or the anterior chest ... Non-small-cell lung ... Dermatomyositis: • ILD ... Prednisone at 1 ... diagnosis #management #rheumatology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
This post will focus ... /50 Rule (part 1) ... and second ribs.1 ... #Radiology #CTChest ... #Lung #Pulmonary
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
pulmonary symptoms • Rheumatologic ... clinical forms: 1) ... change in the lungs ... arthritis, and endocarditis ... nails, bronchi, lungs