8 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
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
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Valve Endocarditis ... Diptheria • Typhoid fever ... Acute rheumatic fever ... Psittacosis • Q fever ... • Yellow fever
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... night sweats, fever ... Marantic (NTBE) Differential ... block, annular or aortic ... Persistent bacteremia/fevers
Aortic Valve Endocarditis on POCUS Echocardiogram (PLAX)
50 yo female presents with fever & flu-like symptoms.
Aortic Valve Endocarditis ... presents with fever ... Endocarditis #POCUS ... Echocardiogram #PLAX #clinical ... #ultrasound #cardiology
Splenic Abscess on POCUS

Older male with IVDU presents with fever, abdominal pain and hypotension.  During
presents with fever ... Had Aortic valve ... endocarditis. ... Spleen #POCUS #clinical ... #ultrasound
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... Ovarian CA, involves aortic ... night sweats, fever ... block, annular or aortic ... #Differential #
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