20 results
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... : Fever 1-2 weeks ... Brucellosis Faget's Sign ... or lung abscess ... #Differential #Diagnosis
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Frequent Differential Diagnoses ... without localizing signs ... , infective endocarditis ... melioidosis, typhoid, pulmonary ... #differential #diagnosis
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... Differential/diagnosis ... #Echocardiogram ... #A4c #clinical ... #cardiology #McConnells
McConnell's Sign on POCUS Echocardiogram (A4C)
Elderly female with recent hospitalization presented with hypotension, tachycardia and low
McConnell's Sign ... on POCUS Echocardiogram ... and low grade fever ... #POCUS #Echocardiogram ... #A4C #cardiology
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
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
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
on POCUS Echocardiogram ... presents with fever ... #POCUS #Echocardiogram ... #clinical #cardiology ... #s4c
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... Clinical features: Fever ... often small (<1 ... Clinical features: Fever ... common, Aortic root abscess
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
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... Diagnosis concerning ... for Pulmonary Embolism ... #POCUS #Echocardiogram ... #ultrasound #cardiology