22 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
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
on Chest CT • ... • DDx: Septic ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
Septic emboli Septic ... CT demonstrates ... a patient with septic ... #Clinical #Radiology ... #CXR #CTChest #Septic
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
infection • Abscess ... Endocarditis • Hepatic ... abscess Hereditary ... Brucellosis Faget's Sign ... or lung abscess
Hepatic Abscess on POCUS
Had recent colonoscopy with biopsies.  Answer: Had perforation of colon at hepatic
Hepatic Abscess ... perforation of colon at hepatic ... fellow pick up (pre-CT ... RJonesSonoEM #Hepatic ... #clinical #Ultrasound
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... endocarditis w/ septic ... • Myocardial abscess ... • Persistent fever ... infection (e.g. septic
Good example of 'shred sign' in a patient with fever, cough and shortness of breath. 

This
a patient with fever ... pneumonia on CXR/CT ... #pneumonia #clinical ... #photo #ultrasound ... #lung #pulmonary
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
loss, lethargy, fever ... • CT: Halo sign ... • Fever, weight ... be normal • Fever ... Hyponatremia • Elevated hepatic
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 cor image ... Echocardiogram #clinical