79 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
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
most common) Clinical ... • Indolent symptoms ... to rnonths • Fever ... Lung #Abscess #Diagnosis ... #Pulmonary #Clinical
Sarcoidosis 
Non-caseating granulomas (Composed of T-helper & inflammatory cells) 
Clinical:
 • Disease fatal in 10% of
inflammatory cells) Clinical ... Constitutional: Fever ... #Sarcoidosis #Diagnosis ... #Symptoms #Signs ... #Pulmonary
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... e.g., CXR, CT, ultrasound ... Inflammation (e.g., fever ... symptoms (e.g., ... #Pulmonolary
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 ... splenomegaly • Hepatic ... hepatitis • Pulmonary ... #management #treatment
Biphasic Illness of Leptospirosis
Some patients do not progress to severe disease. Others, rapidly develop severe disease
brief interval symptom ... -14 days): • Fever ... disease (renal + hepatic ... dysfunction) • Pulmonary ... Biphasic #Phases #Diagnosis
Pneumocystis jirovecii Pneumonia 
Clinical 
 • Caused by Pneumocystis jirovecii (formerly carinil) 
 • Immunocompromised host
jirovecii Pneumonia Clinical ... CD4 < 200 • Symptoms ... 2—3 weeks • Fever ... PJP #Pneumonia #Diagnosis ... #Management
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
- Differential Diagnosis ... Constitutional symptoms ... Hyponatremia • Elevated hepatic ... Infections #HIV #AIDS #pulmonary ... #differential #diagnosis
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
and Management ... renal failure Clinical ... General: fever, ... syndrome: ACUTE, fever ... presentation with fever
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Fever, cough ... has five major clinical ... infection • Cough, fever ... • Isolated fever ... #Management #Infections