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
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs/symptoms ... high index of clinical ... is required for diagnosis ... features: Fever ... features: Fever
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... w/ septic pulmonary ... • Persistent fever ... Internet Book of Critical ... #criticalcare #diagnosis
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Clinical Features ... (SLE) General: Fever ... Pericarditis, Endocarditis ... erythematosus #signs #symptoms ... #diagnosis #rheumatology
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
Aortic Valve Endocarditis on POCUS Echocardiogram (PLAX)
50 yo female presents with fever & flu-like symptoms.
Aortic Valve Endocarditis ... presents with fever ... & flu-like symptoms ... Echocardiogram #PLAX #clinical ... #ultrasound #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
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
immune compromise Clinical ... Signs/Symptoms: ... cystitis, may have fever ... infection, such as fever ... KUB or abdominal ultrasound
Lemierre's Syndrome on Neck POCUS with IJ Thrombosis - Transverse View

Male with high fever and right
Male with high fever ... Differential/diagnosis ... On ultrasound note ... Had septic emboli ... #Neck #POCUS #Clinical
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
Tricuspid Valve Endocarditis ... presents with fever ... frequently have lung septic ... Echocardiogram #clinical ... #cardiology #s4c