11 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
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
immune compromise Clinical ... cystitis, may have fever ... infection, such as fever ... KUB or abdominal ultrasound ... also important Management
Emphysematous Cholecystitis on POCUS
Patient septic? Why not POCUS and know the source before you ever leave
POCUS Patient septic ... source before you ever ... the top of the radiology ... Cholecystitis #POCUS #clinical ... #ultrasound #gallbladder
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... • Persistent fever ... • Aggressive management ... Internet Book of Critical ... criticalcare #diagnosis #management
Endocarditis Summary

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

A patient presents with fever to 102F and pain over her olecranon
presents with fever ... An ultrasound over ... best choice for management ... #POCUS #Elbow #clinical ... #ultrasound #MSK
Osteomyelitis / Septic Arthritis on POCUS

A diabetic adult presents with pain and fever at this site.
Osteomyelitis / Septic ... with pain and fever ... #Arthritis #clinical ... #POCUS #ultrasound ... #msk #radiology
Pocket Hematoma after Pacemaker Placement
A rare, but can't-miss complication from pacemaker placement. Low incidence (1-9%) overall,
Heparin increases ... NEVER attempt to ... systemic signs (fever ... Pocket #Hematoma #clinical ... #Pacemaker #photo