20 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 ... point-of-care ultrasound ... #Abscess #Hepatic ... #Clinical #POCUS ... #Ultrasound #Radiology
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
Septic Arthritis ... active ROM +/- fever ... necrosis, Lyme disease ... beneficial in septic ... nongonococcal septic
Echinococcal Cysts in the Liver- The physical examination revealed hepatomegaly with a palpable hepatic mass. Laboratory
with a palpable hepatic ... Hydatid disease ... #clinical #NEJM ... #hepatic #radiology ... #CT #ultrasonography
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Adult-Onset Still's Disease ... Clinical triad ... : Fever, Arthralgia ... splenomegaly • Hepatic ... #diagnosis #management
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
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... endocarditis w/ septic ... • Persistent fever ... infection (e.g. septic ... Internet Book of Critical
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
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Clinical ... : • 80% have fever ... Blood cultures • CXR ... ) • CXR upright ... seen • Chest CT
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
Anthropometry, CT ... Analysis, muscle ultrasound ... disease ... prevent or treat hepatic ... Cirrhosis #diet #management
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
accumulation of clinical ... : fever +++, hepatosplenomegaly ... +++ (Plt, Hb), Hepatic ... , ↓ Fibrinogen level ... Lymphohistiocytosis #diagnosis #management