15 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
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... • Indolent symptoms ... to rnonths • Fever ... #Diagnosis #Pulmonary ... #Clinical #CXR
A 50 yo F with a history of poor dentition presents to the ED with fever
to the ED with fever ... A CXR is done. ... consistent w/ lung abscess ... #Clinical #Radiology ... #CXR #ChestXRay
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
• Myocardial abscess ... • Persistent fever ... arthritis, splenic abscess ... Internet Book of Critical ... #criticalcare #diagnosis
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 ... features: Fever ... features: Fever ... common, Aortic root abscess
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 ... InfectiousDisease #CXR ... Schistosomiasis #Katayama #Fever
Aortic Valve Endocarditis on POCUS Echocardiogram (PLAX)
50 yo female presents with fever & flu-like symptoms.
presents with fever ... & flu-like symptoms ... Blood Cx grew staph ... Echocardiogram #PLAX #clinical ... #ultrasound #cardiology
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 ... Echocardiogram #clinical ... #cardiology #s4c
Endocarditis - Diagnosis and Management Summary
What is it? Inflammation of endocardium, typically secondary to infection of
Endocarditis - Diagnosis ... w/ vegetation/abscess ... predisposition/lVDU, Fever ... above, + Blood Cx ... #Diagnosis #Summary