19 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
Endocarditis - Duke Criteria - Major and Minor

MAJOR CRITERIA: 
 - Persistently +ve blood culture for
Endocarditis - Duke ... vegetation, dehiscence, abscess ... drug use - Fever ... #Endocarditis ... #Major #Minor #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
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
- Differential Diagnosis ... Pregnancy • Fever ... • Rheumatic Fever ... • Rheumatic Fever ... • Rheumatic Fever
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 Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Cerebral > Splenic, pulmonary ... -> TEE • Duke Criteria ... Persistent bacteremia/fevers ... #cardiology
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
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
Pericarditis on POCUS ... Echocardiogram ... and hepatic vein criteria ... one month ago-pt never ... #clinical #cardiology