21 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
Mitral Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.

Dr. Robert Jones @RJonesSonoEM

#MitralValve
Mitral Valve Endocarditis ... on POCUS Echocardiogram ... presents with fever ... #POCUS #Echocardiogram ... #clinical #cardiology
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
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
Tricuspid Valve Endocarditis ... on POCUS Echocardiogram ... presents with fever ... frequently have lung septic ... #clinical #cardiology
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
to SAM on POCUS Echocardiogram ... Septic patient ... Diagnosis? ... #ultrasound #Cardiology ... #PLAX #clinical
Aortic Valve Endocarditis on POCUS Echocardiogram (PLAX)
50 yo female presents with fever & flu-like symptoms.
on POCUS Echocardiogram ... presents with fever ... #POCUS #Echocardiogram ... #PLAX #clinical ... #ultrasound #cardiology
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
for Infective Endocarditis ... demonstrating active endocarditis ... involvement - Echocardiogram ... Predisposition • Fever ... #diagnosis #major
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 - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
Pericarditis on POCUS Echocardiogram ... mitral velocity and hepatic ... one month ago-pt never ... Pericarditis #CP #POCUS #Echocardiogram ... #clinical #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