15 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 ... 1016714544352116736 #Liver ... #Abscess #Hepatic ... #Ultrasound #Radiology
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... • Hepatic abscess ... Brucellosis • Liver ... or lung abscess ... #Patterns #Differential
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... Computed Tomography (CT ... , Metastasis #Liver ... #CT #MRI #POCUS ... #radiology #differential
Hepatic Abscess on POCUS
Had recent colonoscopy with biopsies.  Answer: Had perforation of colon at hepatic
Hepatic Abscess ... fellow pick up (pre-CT ... isoechoic to liver ... #clinical #Ultrasound ... #RUQ #Liver
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
venous gas on hepatic ... reflection on the differential ... The images (CT | ... #hepatology #liver ... #pocus #clinical
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... • Myocardial abscess ... • Persistent fever ... arthritis, splenic abscess ... Internet Book of Critical
Echinococcal Cysts in the Liver- The physical examination revealed hepatomegaly with a palpable hepatic mass. Laboratory
Echinococcal Cysts in the Liver ... right lobe of the liver ... #clinical #NEJM ... echinoccocal #cyst #liver ... #hepatic #radiology
Amebic Liver Abscess- ...Computed tomography of the abdomen performed after the administration of contrast material revealed
Amebic Liver Abscess ... lesion in the liver ... #NEJM #amebic #liver ... #abscess #clinical ... #radiology #CT
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Glomerulonephritis Septic ... Marantic (NTBE) Differential ... Persistent bacteremia/fevers ... diagnosis #management #cardiology
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 ... Echocardiogram #clinical ... #cardiology #s4c