10 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... w/ septic pulmonary ... • Persistent fever ... • Aggressive management ... Internet Book of Critical
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
presents with fever ... emboli (see CT ... cor image https ... Echocardiogram #clinical ... #cardiology #s4c
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
night sweats, fever ... Cerebral > Splenic, pulmonary ... Persistent bacteremia/fevers ... #diagnosis #management ... #cardiology
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Clinical ... : • 80% have fever ... Blood cultures • CXR ... seen • Chest CT ... Lung #Abscess #pulmonary
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
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
Tuberculosis Overview

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