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diagnosis pocus infectiousdiseases syndrome cardiology differential endocarditis rheumatology activetb arthritis disease jugular latenttb lemierres msk neck rij summary tb thrombosis
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
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 Septic Arthritis - Diagnosis and Management Summary Clinical Exam: hot, swollen, pain with passive AND active ROM
Septic Arthritis ... active ROM +/- fever ... beneficial in septic ... nongonococcal septic ... unable to rule out septic
Lemierre's Syndrome on Neck POCUS with IJ Thrombosis - Transverse View Male with high fever and right
Male with high fever ... On ultrasound note ... Had septic emboli ... in lungs ... #Neck #POCUS #Clinical
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 Capnocytophaga Pathogen: Capnocytophaga • 9 species, C. canimorsus responsible for the majority of infections • Gram-negative rod,
SIow growing, Long ... • Cellulitis: Fever ... General malaise • Septic ... Endocarditis, Septic ... infectiousdiseases #diagnosis #management
Septic Olecranon Bursitis on POCUS A patient presents with fever to 102F and pain over her olecranon
Septic Olecranon ... presents with fever ... for this septic ... #Septic #Olecranon ... #POCUS #Elbow #clinical
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 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 ... Disease #diagnosis #management ... #treatment #rheumatology
Macrophage Activation Syndrome (MAS) Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH) What? A subset of
disease • Periodic fever ... multiorgan failure • Fever ... - Nonremitting fever ... rash) • Heart, lung ... ALT ↑ bilirubin level
Tricuspid Valve Endocarditis on POCUS Echocardiogram Patient with active IVDU presents with fever, sepsis. More likely
presents with fever ... frequently have lung ... septic emboli ( ... Echocardiogram #clinical ... #cardiology #s4c
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 Hemophagocytic Lymphohistiocytosis (HLH) Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
accumulation of clinical ... : fever +++, hepatosplenomegaly ... +++ (Plt, Hb), Hepatic ... , ↓ Fibrinogen level ... Lymphohistiocytosis #diagnosis #management
Osteomyelitis / Septic Arthritis on POCUS A diabetic adult presents with pain and fever at this site.
Osteomyelitis / Septic ... with pain and fever ... Osteomyelitis #Septic ... #POCUS #ultrasound ... #msk #radiology
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