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Mitral Valve Endocarditis on POCUS Echocardiogram 66 yo presents with petechiae to lower extremities. Pt had mitral valve replacement 6 months ago. How to narrow down all the DDX? #POCUS give you the answer which is....? In a replacement valve the leaflets shouldn’t be seen extending past the prosthetic annulus. Here you see a vegetation on the anterior MV leaflet that extends up and hits the septum. #MitralValve #Endocarditis #POCUS #Echocardiogram #clinical #cardiology #a4c #plax