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Inpatient Day 7:
1/ Our patient's TEE came back with an aortic valve lesion concerning for a "Lambl's Excrescence".

I had no idea what this was...so, after some research here is a brief #MedTweetorial on Lambl's Excrescences:

#Foamed #DailyInptPearl #PostItPearl
2/ First, a pre-tweetorial poll:
Which of the fllowing are patients with Lambl's Excrescence at risk for:
3/ DEFINITION:
🔷Lambl's Excrescences (LEs) are fibrous valvular strands
🔷Usually occur at coaptation lines of left-sided valves from wear/tear of valves ➡️endothelial injury
🔷Made up of collagenous and elastic fibrils
🔷Unusual, but significant source of thromboembolism (CVA)
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