15 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 ... 1016714544352116736 #Liver ... #Abscess #Hepatic ... #Ultrasound #Radiology
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 ... #Patterns #Differential
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... Computed Tomography (CT ... , Metastasis #Liver ... #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 ... isoechoic to liver ... #Abscess #POCUS ... #RUQ #Liver
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
ultrasound: A concerning ... reflection on the differential ... The images (CT | ... #hepatology #liver ... #pocus #clinical
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 ... #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 ... Marantic (NTBE) Differential ... Persistent bacteremia/fevers ... diagnosis #management #cardiology
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
Pyogenic liver abscess ... through: - Hepatic ... artery (e.g., endocarditis ... febrilepodcast.com] #pyogenic #liver ... children #peds #differential
Lemierre's Syndrome on Neck POCUS with IJ Thrombosis - Transverse View

Male with high fever and right
Syndrome on Neck POCUS ... Male with high fever ... Differential/diagnosis ... Had septic emboli ... in lungs
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Presentation: Fever ... (elevations of liver ... Manifestations: • Fever ... • Fever and weight ... Imaging, high res CT