11 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... • Persistent fever ... • Aggressive management ... Internet Book of Critical ... criticalcare #diagnosis #management
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
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 ... Echocardiogram #clinical ... #cardiology #s4c
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 ... #diagnosis #management ... #cardiology
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
immune compromise Clinical ... cystitis, may have fever ... infection, such as fever ... , specifically CT ... KUB or abdominal ultrasound
Aortic Valve Endocarditis on POCUS Echocardiogram (PLAX)
50 yo female presents with fever & flu-like symptoms.
Aortic Valve Endocarditis ... presents with fever ... prompted w/u for endocarditis ... Echocardiogram #PLAX #clinical ... #ultrasound #cardiology
Septic Olecranon Bursitis on POCUS

A patient presents with fever to 102F and pain over her olecranon
presents with fever ... An ultrasound over ... best choice for management ... #POCUS #Elbow #clinical ... #ultrasound #MSK
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
Osteomyelitis / Septic Arthritis on POCUS

A diabetic adult presents with pain and fever at this site.
Osteomyelitis / Septic ... with pain and fever ... #Arthritis #clinical ... #POCUS #ultrasound ... #msk #radiology