29 results
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Pregnancy • Fever ... Heart Disease Pulmonary ... • Rheumatic Fever ... • Rheumatic Fever ... • Rheumatic Fever
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
cough and some fever ... #Clinical #Radiology ... #CXR #Acute #Interstitial ... Pneumonia #PJP #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
and other non-pulmonary ... with cough and fever ... Clinical #Diagnosis #Radiology ... #CXR #Lobar #Consolidation ... #Causes #RadiologyAssistant
Nontuberculous mycobacteria
Nontuberculous mycobacteria, also known as atypical mycobacteria, are all the other mycobacteria which can cause
which can cause pulmonary ... the air-fluid level ... #Clinical #Radiology ... #CXR #Lateral # ... AirFluidLevel #RadiologyAssistant
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
 •
Hyperkalemia Pulmonary ... 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
Endocarditis checklist ... w/ septic pulmonary ... • Persistent fever ... • Aggressive management ... criticalcare #diagnosis #management
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
Tricuspid Valve Endocarditis ... on POCUS Echocardiogram ... presents with fever ... emboli (see CT cor ... #clinical #cardiology
Aortic Valve Endocarditis on POCUS Echocardiogram (PLAX)
50 yo female presents with fever & flu-like symptoms.
on POCUS Echocardiogram ... presents with fever ... Blood Cx grew staph ... #POCUS #Echocardiogram ... clinical #ultrasound #cardiology
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 ... Persistent bacteremia/fevers ... #diagnosis #management ... #cardiology