15 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
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 ... #ultrasound #MSK
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
Septic Arthritis ... active ROM +/- fever ... necrosis, Lyme disease ... beneficial in septic ... nongonococcal septic
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Adult-Onset Still's Disease ... Clinical triad ... : Fever, Arthralgia ... splenomegaly • Hepatic ... #diagnosis #management
Echinococcal Cysts in the Liver- The physical examination revealed hepatomegaly with a palpable hepatic mass. Laboratory
with a palpable hepatic ... right lobe of the liver ... Hydatid disease ... #clinical #NEJM ... #hepatic #radiology
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
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
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 ... Endocarditis #diagnosis #management ... #cardiology
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
Legionnaires' Disease
Clinical features:
 • Gl- nausea, vomiting, diarrhea
 • Hyponatremia
 • Elevated transaminases
 • CRP >100
Legionnaires' Disease ... Clinical features ... Pontiac fever ... Extra-pulmonary: cellulitis, septic ... #diagnosis #management