19 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
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... endocarditis w/ septic ... for metastatic infection ... • Persistent fever ... (e.g. septic arthritis
Echinococcal Cysts in the Liver- The physical examination revealed hepatomegaly with a palpable hepatic mass. Laboratory
with a palpable hepatic ... definitive host; the infection ... #clinical #NEJM ... #hepatic #radiology ... #CT #ultrasonography
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
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
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
mitral velocity and hepatic ... one month ago-pt never ... next day due to infectious ... Echocardiogram #clinical ... #cardiology #s4C
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... triad: Fever, Arthralgia ... Diaqnoses: • Infectious ... splenomegaly • Hepatic ... Disease #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 ... Echocardiogram #clinical ... #cardiology #s4c
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
immune compromise Clinical ... cystitis, may have fever ... present or signs of infection ... , such as fever. ... , specifically CT
Osteomyelitis / Septic Arthritis on POCUS

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