26 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
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
#Lesions #Hepatic ... #Ultrasound #Contrast ... CT #MRI #POCUS #radiology ... #differential # ... diagnosis #comparison #table
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Clinical ... : • 80% have fever ... decubitus - air fluid level ... Intervention: - Fevers ... Differential Diagnosis
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
Hemodynamically stable ... • Persistent fever ... endocarditis, epidural abscess ... osteomyelitis, septic ... • Persistent fever
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
• Myocardial abscess ... • Persistent fever ... • Aggressive management ... arthritis, splenic abscess ... Internet Book of Critical
Peritonsillar Abscess on Point of Care Ultrasound (POCUS)

A 19yo female presents with pain and fever. Based
Peritonsillar Abscess ... with pain and fever ... which is the best management ... #PTA #Ultrasound ... #POCUS #Clinical
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 ... fraction < 20% Differential ... splenomegaly • Hepatic ... Disease #diagnosis #management
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
Appearance of Liver Lesions on Contrast Enhanced Ultrasound - Early arterial, Grayscale phase, Late arterial phase,
Contrast Enhanced Ultrasound ... #Lesions #Hepatic ... #POCUS #radiology ... #differential # ... diagnosis #comparison #table
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Marantic (NTBE) Differential ... Persistent bacteremia/fevers ... Endocarditis #diagnosis #management ... #cardiology