10 results
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
presents with fever ... frequently have lung ... septic emboli ( ... see CT cor image ... Echocardiogram #clinical
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... • Persistent fever ... • Aggressive management ... Internet Book of Critical ... criticalcare #diagnosis #management
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Clinical ... : • 80% have fever ... Blood cultures • CXR ... decubitus - air fluid level ... seen • Chest CT
Good example of 'shred sign' in a patient with fever, cough and shortness of breath. 

This
a patient with fever ... /CT imaging. ... sign #pneumonia #clinical ... #photo #ultrasound ... #lung #pulmonary
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... night sweats, fever ... Persistent bacteremia/fevers ... #diagnosis #management ... #cardiology
Pneumonia on Point of Care Ultrasound (POCUS)

Haitian woman fever, cough & this clip => PNA &
Point of Care Ultrasound ... Haitian woman fever ... No CXR (machine ... hole of “truth” (CT ... #Lung #Pulmonary
Aortic Valve Endocarditis on POCUS Echocardiogram (PLAX)
50 yo female presents with fever & flu-like symptoms.
Aortic Valve Endocarditis ... presents with fever ... Blood Cx grew staph ... Echocardiogram #PLAX #clinical ... #ultrasound #cardiology
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
cancer • Septic ... characteristic features Clinical ... Active TB: • Fever ... and Culture • CXR ... TB #Diagnosis #Management
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
cancer • Septic ... characteristic features Clinical ... Active TB: • Fever ... and Culture • CXR ... TB #Diagnosis #Management
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
respiratory symptoms • Fever ... infection • Cough, fever ... • Isolated fever ... arthritis, and endocarditis ... Fungal #Diagnosis #Management