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
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm
Neoplasm:
• NHL
• Hodgkin's lymphoma
• Leukemia
• Solid
Causes of Fever ... Other: • Drug fever ... • Infectious endocarditis ... Osteomyelitis • Occult abscess ... Infection: • Fungal
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
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
• Persistent fever ... metastatic infection (endocarditis ... , epidural abscess ... • Persistent fever ... pathogens (S. aureus, fungal
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Glomerulonephritis Septic ... Complications: Abscess ... Persistent bacteremia/fevers ... diagnosis #management #cardiology
Splenic Abscess on POCUS

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

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Endocarditis - Overview ... night sweats, fever ... tumor embolism Septic ... Persistent bacteremia/fevers ... Differential #Diagnosis #cardiology
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
Tricuspid Valve Endocarditis ... presents with fever ... frequently have lung septic ... Echocardiogram #clinical ... #cardiology #s4c
Aortic Valve Endocarditis on POCUS Echocardiogram (PLAX)
50 yo female presents with fever & flu-like symptoms.
Aortic Valve Endocarditis ... presents with fever ... prompted w/u for endocarditis ... Echocardiogram #PLAX #clinical ... #ultrasound #cardiology