18 results
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Frequent Differential Diagnoses ... , infective endocarditis ... melioidosis, typhoid, pulmonary ... eosinophilia - Tropical pulmonary ... #differential #diagnosis
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Algorithm Benign ... Pregnancy • Fever ... • Rheumatic Fever ... • Rheumatic Fever ... • Rheumatic Fever
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm
Neoplasm:
• NHL
• Hodgkin's lymphoma
• Leukemia
• Solid
Causes of Fever ... Other: • Drug fever ... • Factitious fever ... • Infectious endocarditis ... Osteomyelitis • Occult abscess
PCI Stent Coronary Abscess - Infective Pseudoaneurysm on Echocardiogram

PCI Stent Coronary Abscess - Infective Pseudoaneurysm after
Pseudoaneurysm on Echocardiogram ... High grade fever ... Pseudoaneurysm #Echocardiogram ... #POCUS #clinical ... #cardiology
Mitral Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.

Dr. Robert Jones @RJonesSonoEM

#MitralValve
Mitral Valve Endocarditis ... on POCUS Echocardiogram ... presents with fever ... #POCUS #Echocardiogram ... #clinical #cardiology
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
+ Abscess • Sick ... Diptheria • Typhoid fever ... Acute rheumatic fever ... Psittacosis • Q fever ... • Yellow fever
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
w/ septic pulmonary ... • Myocardial abscess ... • Persistent fever ... arthritis, splenic abscess ... #criticalcare #diagnosis
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
or intracardiac abscess ... or intracardiac abscess ... involvement - Echocardiogram ... Predisposition • Fever ... #diagnosis #major
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Cerebral > Splenic, pulmonary ... Diagnosis? ... Persistent bacteremia/fevers ... #cardiology
Figure. An approach to the diagnostic use of echocardiography (echo). Rx indicates prescription; TEE, transesophageal
echocardiography; and
approach to the diagnostic ... a patient with fever ... #Diagnosis #InfectiveEndocarditis ... Transesophageal #Echocardiogram ... #TTE #TEE #Algorithm