28 results
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
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
Sarcoidosis 
Non-caseating granulomas (Composed of T-helper & inflammatory cells) 
Clinical:
 • Disease fatal in 10% of
inflammatory cells) Clinical ... Constitutional: Fever ... Subcutaneous nodules, lupus ... #Sarcoidosis #Diagnosis ... #Symptoms #Signs
Causes of Severe Aortic Regurgitation - Differential Diagnosis
Acute:
 • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
- Differential Diagnosis ... Acute Infective Endocarditis ... , Rheumatic Fever ... Inflammatory: Lupus ... #Causes #cardiology
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
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
View Young Lupus ... mitral velocity and hepatic ... one month ago-pt never ... Echocardiogram #clinical ... #cardiology #s4C
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
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
View Young Lupus ... Lupus pericarditis ... Had diagnostic tap-fever ... Echocardiogram #clinical ... #cardiology #A3C
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
- Differential Diagnosis ... Red Flags: • Fever ... Schonlein Purpura - Endocarditis ... Autoimmune Vasculitis (lupus ... • Abdominal ultrasound