30 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
left hemiplegia, fevers ... sister shared these photos ... could have been diagnosed ... with persistent fever ... #photo #dermatology
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Computed Tomography (CT ... #Lesions #Hepatic ... #CT #MRI #POCUS ... #radiology #differential ... #diagnosis #comparison
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
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... TEE) • Chest CT ... • Persistent fever ... Internet Book of Critical ... #criticalcare #diagnosis
Osler's Nodes in a patient with infective endocarditis

67yo presents with R occipital intraparenchymal hemorrhage (IPH) attributed
with infective endocarditis ... Pt develops fever ... confirming our working diagnosis ... of endocarditis ... #clinical #photo
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
Intraabdominal Abscess on POCUS

RUSH exam for fever, hypotension, abd pain.  You notice this in RUQ.
RUSH exam for fever ... Diagnosis? ... See CT scan. ... Abscess #POCUS #ultrasound ... #clinical #Crohns
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Glomerulonephritis Septic ... Diagnosis? ... Persistent bacteremia/fevers ... #cardiology
Katayama Fever - Physical examination and diagnostic testing revealed multiple small papules on the trunk (Panel
Katayama Fever - ... examination and diagnostic ... #Clinical #Radiology ... Schistosomiasis #Katayama #Fever ... KatayamaFever #Rash #NEJM