94 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
Hepatic Ectopic Pregnancy on POCUS

Adel @delvascu

#Hepatic #Ectopic #Pregnancy #POCUS #clinical #ultrasound #Liver #obgyn #obstetrics #radiology
Hepatic Ectopic ... Adel @delvascu #Hepatic ... Pregnancy #POCUS #clinical ... #ultrasound #Liver ... obgyn #obstetrics #radiology
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 ... Differential Diaqnoses ... splenomegaly • Hepatic ... management #treatment #rheumatology
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Contrast Enhanced Ultrasound ... #Lesions #Hepatic ... #Ultrasound #Contrast ... CT #MRI #POCUS #radiology ... #differential #diagnosis
Temporal (Giant cell) Arteritis 
Risk Factors:
 • Age (almost never occurs before age 50) 
Clinical:
 •
• Age (almost never ... before age 50) Clinical ... GiantCell #Arteritis #Diagnosis ... #Rheumatology #
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
disease • Periodic fever ... multiorgan failure • Fever ... - Nonremitting fever ... ALT ↑ bilirubin level ... #Rheumatology
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Obstructive pattern on hepatic ... with RUQ pain, fever ... Mirizzi #Syndrome #Liver ... #POCUS #Ultrasound ... #Gallstone #Clinical
Hemophagocytic Lymphohistiocytosis (HLH)
Clinical Features: Fever, Splenomegaly, Hepatomegaly, Lymphadenopathy, Confusion
Classic lab findings in HLH: ↑↑ ferritin, Anemia,
Lymphohistiocytosis (HLH) Clinical ... Features: Fever ... IL-2 receptor Diagnostic ... 8 criteria: • Fever ... #hematology #criteria
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
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 ... treatment #summary #rheumatology