16 results
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Compatible syndrome + MRI ... histoplasmosis, cryptococcus ... Syphilis • Pyogenic Abscess ... RingEnhancing #Lesions #Brain
Causes of Culture Negative Abscess - Differential Diagnosis Framework
Consider prior antibiotics as a cause of a
Culture Negative Abscess ... negative culture Brain ... : Aspergillus, Cryptococcus ... Coccidiomycosis, Cryptococcus ... Culture #Negative #Abscess
Liver Abscess on POCUS
24yo healthy F to ED w/rigors &DCed. 2/2 blood cx + for fusobacterium,
Liver Abscess on ... POCUS 24yo healthy ... this 2x2cm liver abscess ... was too small to drain ... #Hepatic #POCUS
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
heart valves • MRI ... brain for cerebral ... common, Aortic root abscess ... often seen • MRI ... brain for cerebral
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
• ABCs • IV access ... a NCCT or • MRI ... brain w/o contrast ... Detected on NCCT vs MRI ... Defined if 1) CT/MRI-confirmed
Ruptured Chordae Tendineae on POCUS Echocardiogram
 
Many underlying causes, not limited to: MVP, subacute endocarditis, connective
Chordae Tendineae on POCUS ... Assess for MR when ... Chordae #Tendineae #POCUS
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
nervous system: Brain ... • Infectious: Brain ... abscess • Toxic ... EMG) studies • MRI
Hemiballismus on Physical Exam secondary to Cryptococcal fungal infection
MRI showed 2 pockets of infection on both
Exam secondary to Cryptococcal ... fungal infection MRI ... both sides of his brain
Abscess Pus Flow on POCUS

Equivocal exam for abscess, then this. Kind of mesmerizing, in the way
Abscess Pus Flow ... on POCUS Equivocal ... exam for abscess ... #drain #flow #pus ... clinical #ultrasound #pocus
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
Imaging: - MRI ... tuberculomas, or abscesses ... culture positive Cryptococcal ... lesions • CSF cryptococcal