17 results
Unexpected source of fever: Liver abscess on point-of-care ultrasound

- Dr. Dan Kim https://twitter.com/dan___kim/status/1016714544352116736

#Liver #Abscess #Hepatic #Clinical
Unexpected source of fever ... : Liver abscess ... #Abscess #Hepatic ... #Clinical #POCUS ... #Ultrasound #Radiology
Liver Abscess on POCUS
24yo healthy F to ED w/rigors &DCed. 2/2 blood cx + for fusobacterium,
Liver Abscess on ... DCed. 2/2 blood cx ... #Abscess #Hepatic ... #POCUS #Clinical ... #Ultrasound #Abdominal
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... endocarditis w/ septic ... • Myocardial abscess ... • Persistent fever ... infection (e.g. septic
Hepatic Abscess on POCUS
Had recent colonoscopy with biopsies.  Answer: Had perforation of colon at hepatic
Hepatic Abscess ... perforation of colon at hepatic ... fellow pick up (pre-CT ... RJonesSonoEM #Hepatic ... #clinical #Ultrasound
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
Septic Arthritis ... active ROM +/- fever ... beneficial in septic ... nongonococcal septic ... unable to rule out septic
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
Echinococcal Cysts in the Liver- The physical examination revealed hepatomegaly with a palpable hepatic mass. Laboratory
with a palpable hepatic ... right lobe of the liver ... #clinical #NEJM ... #hepatic #radiology ... #CT #ultrasonography
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 https ... Echocardiogram #clinical
Septic Olecranon Bursitis on POCUS

A patient presents with fever to 102F and pain over her olecranon
Septic Olecranon ... presents with fever ... for this septic ... #Septic #Olecranon ... #POCUS #Elbow #clinical
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Glomerulonephritis Septic ... Persistent bacteremia/fevers ... Endocarditis #diagnosis #management ... #cardiology