Dr. Gerald Diaz @GeraldMD
39.5M 14.2K 7.5K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Mitral Valve Vegetation Echocardiogram
Juicy vegetation on a mitral valve.

31% S. Aureus (IVDUs, IV lines)
17% Strep viridans
11%
Mitral Valve Vegetation ... Echocardiogram ... #Endocarditis # ... Infective #Clinical ... #Echocardiogram
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Mitral Valve Vegetation on Echocardiogram

Since people liked yesterday's MV vegetation, & IE was a hot topic
Mitral Valve Vegetation ... on Echocardiogram ... #Endocarditis # ... Infective #Clinical ... #Valve
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Non-Infective Endocarditis - Pathophysiology
Non-infective Endocarditis Pathophysiology:
 β€’ Valves usually undamaged - Etiology poorly understood but thought
Non-Infective Endocarditis ... Pathophysiology Non-infective ... : β€’ Valves usually ... failure is rare Infective ... and propagate β†’ Vegetation
Non-Infective Endocarditis (NBTE / Marantic Endocarditis)
Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
Non-Infective Endocarditis ... the surface of valve ... leaflet β€’ Vegetations ... left-sided heart valves ... vegetation on echo
Mitral Valve Vegetations on Echocardiogram

Surgery may be considered in pts with large (>15 mm) isolated aortic
Mitral Valve Vegetations ... on Echocardiogram ... #endocarditis # ... Mitral #Valve #psax ... #Echocardiogram
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Mitral Valve Vegetations on Echocardiogram (PLAX)

Surgery may be considered in pts with large (>15 mm) isolated
Mitral Valve Vegetations ... on Echocardiogram ... #endocarditis # ... Mitral #Valve #plax ... #Echocardiogram
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HIV patient with sepsis - Infective endocarditis and vegetation

- Jaime Alejandro SΓ‘nchez GutiΓ©rrez
@J_AlejandroMD

#Clinical #POCUS #Echocardiogram #A4C
endocarditis and ... vegetation - ... Clinical #POCUS #Echocardiogram ... #A4C #Infective ... Vegetations
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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 ... aortic & mitral valves ... #Vegetations #Endocarditis
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Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Differentiating NBTE from Infective ... false-negative results: vegetation ... already embolised, Vegetations ... infarcts Features of Infective ... #comparison #infective
Endocarditis checklist
Initial evaluation
 β€’ Peripheral blood cultures (three sets at three different sites)
 β€’ Additional culture
for metastatic infection ... consultation β€’ Valve ... growth or worsening valve ... β€’ Aggressive management ... metastatic foci of infection