10 results
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... , Metastasis #Liver ... #Lesions #Hepatic ... CT #MRI #POCUS #radiology ... #differential #diagnosis
Katayama Fever - Physical examination and diagnostic testing revealed multiple small papules on the trunk (Panel
examination and diagnostic ... mildly elevated liver-function ... #Clinical #Radiology ... InfectiousDisease #CXR ... KatayamaFever #Rash #NEJM
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... • Hepatic abscess ... Brucellosis • Liver ... or lung abscess ... #Differential #Diagnosis
Appearance of Liver Lesions on Contrast Enhanced Ultrasound - Early arterial, Grayscale phase, Late arterial phase,
Appearance of Liver ... Contrast Enhanced Ultrasound ... , Metastasis #Liver ... #POCUS #radiology ... #differential #diagnosis
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
presents with fever ... frequently have lung ... septic emboli ( ... see CT cor image ... Echocardiogram #clinical #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... night sweats, fever ... Glomerulonephritis Septic ... Diagnosis? ... #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... , verrucous) - Lung ... night sweats, fever ... tumor embolism Septic ... #cardiology #infectiousdiseases
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
, and multiple liver ... Biopsy of the lung ... patient received a diagnosis ... #NEJM #clinical ... #radiology #CT #
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Mississippi and Ohio River ... change in the lungs ... • Septic shock ... arthritis, and endocarditis ... nails, bronchi, lungs
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
a chest x-ray (CXR ... not seen on a CXR ... bleeding often from a liver ... #Radiology #CTChest ... #Lung #Pulmonary