16 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 ... point-of-care ultrasound ... #Abscess #Hepatic ... #Radiology
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Hypernatremia - Differential ... consciousness • No access ... ICU patients • Fever ... Hypernatremia #Nephrology ... #Differential #
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
- CBC with differential ... Carboxyhemoglobin level ... tox/infectious workup ... of infection (fever ... #MICU #CriticalCare
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Diagnosis and Workup ... Assess volume status ... - burns - fevers ... HYPERVOLEMIC • CHF • liver ... #Algorithm #Nephrology
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Endocarditis + Abscess ... Diptheria • Typhoid fever ... Acute rheumatic fever ... Psittacosis • Q fever ... • Yellow fever
Neurological Manifestations of Tuberculosis
Spinal Arachnoiditis & Polyradiculopathy:
 • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
neurologic symptoms, fever ... stroke Tuberculous Abscess ... ) • Headache, fever ... Meningitis: • Fever ... Tuberculosis #diagnosis #differential
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Pain / Exercise, Fever ... Beta-Agonists, ↑ work ... Lactic #Acidosis #Differential ... #Diagnosis #criticalcare
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Marantic (NTBE) Differential ... Complications: Abscess ... Persistent bacteremia/fevers ... diagnosis #management #cardiology
Causes of Cystic Renal Mass - Differential Diagnosis Algorithm
Benign - Anechoic on ultrasound, Well-demarcated on ultrasound/CT,
Cystic Renal Mass - Differential ... Carcinoma - Abscess ... - Fever and leukocytosis ... Cystic #RenalMass #Nephrology ... #Differential #
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Petechial Rash - Differential ... Red Flags: • Fever ... deficiency Work ... • Abdominal ultrasound ... Petechiae #Rash #Differential