13 results
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
Fever of Unknown ... Returning Traveler’ algorithm ... duplex or CTA • Liver ... Liver biopsy • ... node biopsy • Clinical
Malignant Adrenal Mass - Differential Diagnosis Algorithm
Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Differential Diagnosis Algorithm ... Density, Delay in CT ... Hounsfeld Units on CT ... Hypointense to Liver ... High Plasma E2 + Clinical
Case of Fitz-Hugh-Curtis (FHC) on CT

28F +4d RUQ pain worse w/ inspiration, 102F fever, no vaginal
inspiration, 102F fever ... vaginal discharge, rash ... CT: +enhancement ... of liver capsule ... #Clinical #Radiology
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
rapidly evolving rash ... Rapid onset of fever ... sepsis: chronic liver ... Early abx are critical ... dermatology #legs #clinical
Katayama Fever - Physical examination and diagnostic testing revealed multiple small papules on the trunk (Panel
Katayama Fever - ... mildly elevated liver-function ... #Clinical #Radiology ... Schistosomiasis #Katayama #Fever ... KatayamaFever #Rash
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
syndromes Clinical ... is the main clinical ... - Nonremitting fever ... Petechial or purpuric rash ... thrombocytopenia • Liver
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
(blue-purple) rash ... auricular papules Clinical ... Dermatomyositis • Fever ... disease and ILD • Liver ... Liver biopsies show
Case of Fitz-Hugh-Curtis (FHC) Adhesions

28F +4d RUQ pain worse w/ inspiration, 102F fever, no vaginal discharge,
inspiration, 102F fever ... vaginal discharge, rash ... CT: +enhancement ... of liver capsule ... FitzHughCurtis #FHC #Clinical
Possible Algorithm for Workup of Fever of Unknown Origin (FUO)
Tier 1 Workup:
 • CBC, comprehensive metabolic
Possible Algorithm ... for Workup of Fever ... ESR, +/- CRP • CT ... marrow, Lymph node, Liver ... DrEricStrong #FUO #Algorithm
NAFLD Diagnosis Algorithm
Two-step diagnostic strategy for NAFLD
1st step: 
  - Clinical biomarkers, scoring systems- FIB4,
NAFLD Diagnosis Algorithm ... 1st step: - Clinical ... inspection of liver ... NonAlcoholic #Fatty #Liver ... #hepatology #NASH