17 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
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... night sweats, fever ... Glomerulonephritis Septic ... block, annular or aortic ... Persistent bacteremia/fevers
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... • Myocardial abscess ... • Persistent fever ... arthritis, splenic abscess ... Internet Book of Critical
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Valve Endocarditis ... Diptheria • Typhoid fever ... Acute rheumatic fever ... Psittacosis • Q fever ... • Yellow fever
Aortic Valve Endocarditis on POCUS Echocardiogram (PLAX)
50 yo female presents with fever & flu-like symptoms.
Aortic Valve Endocarditis ... presents with fever ... Endocarditis #POCUS ... Echocardiogram #PLAX #clinical ... #ultrasound #cardiology
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... features: Fever ... features: Fever ... dysfunction common, Aortic ... root abscess often
Splenic Abscess on POCUS

Older male with IVDU presents with fever, abdominal pain and hypotension.  During
presents with fever ... Had Aortic valve ... endocarditis. ... Spleen #POCUS #clinical ... #ultrasound
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Ovarian CA, involves aortic ... night sweats, fever ... tumor embolism Septic ... block, annular or aortic ... Persistent bacteremia/fevers
Renal Pelvis Stone on POCUS

A patient presents with fever and RLQ pain.  Coronal plane showing
presents with fever ... kidney, IVC & aorta ... the setting of fever ... nephrolithiasis #clinical ... #ultrasound #kidney
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
orbital cellulitis, abscess ... agents, and the fever ... #NEJM #clinical ... #photo #peds #acute