11 results
Unexpected source of fever: Liver abscess on point-of-care ultrasound

- Dr. Dan Kim https://twitter.com/dan___kim/status/1016714544352116736

#Liver #Abscess #Hepatic #Clinical
Unexpected source of fever ... : Liver abscess ... #Abscess #Hepatic ... #Clinical #POCUS ... #Ultrasound #Radiology
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Computed Tomography (CT ... #Lesions #Hepatic ... Ultrasound #Contrast #CT ... #MRI #POCUS #radiology ... #differential #
Hepatic Abscess on POCUS
Had recent colonoscopy with biopsies.  Answer: Had perforation of colon at hepatic
Hepatic Abscess ... fellow pick up (pre-CT ... #Abscess #POCUS ... #clinical #Ultrasound ... #RUQ #Liver
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
venous gas on hepatic ... reflection on the differential ... The images (CT | ... of air in the hepatic ... #pocus #clinical
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Clinical ... decubitus - air fluid level ... seen • Chest CT ... Differential Diagnosis ... #pulmonary #differential
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... • Myocardial abscess ... • Persistent fever ... • Aggressive management ... Internet Book of Critical
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Glomerulonephritis Septic ... Marantic (NTBE) Differential ... Endocarditis #diagnosis #management ... #cardiology
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
on POCUS Elderly ... POCUS Liver TRV ... considered within differential ... Note on the axial CT ... #clinical #ultrasound
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 ... Echocardiogram #clinical ... #cardiology #s4c
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
decrease in HIV-1 RNA level ... initiation Clinical ... osteomyelitis, cutaneous abscesses ... • HBV, HCV - Hepatic ... #Diagnosis #Management