21 results
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Pregnancy • Fever ... • Rheumatic Fever ... • Rheumatic Fever ... • Rheumatic Fever ... Diagnosis #Algorithm #causes
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Hyperkalemia Pulmonary ... Diptheria • Typhoid fever ... Acute rheumatic fever ... Psittacosis • Q fever ... • Yellow fever
Decompression Sickness - The physical examination revealed diffuse violaceous skin mottling over his trunk and arms
elevated lactate level ... #Clinical #Derm ... #EM #Radiology # ... #Pneumatosis #CT ... #NEJM
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... TEE) • Chest CT ... w/ septic pulmonary ... • Persistent fever ... Internet Book of Critical
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... with cough and fever ... Pulmonary hemorrhage ... with low oxygen level ... #Radiology #CXR
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Cerebral > Splenic, pulmonary ... Septic Emboli Cause ... Treat underlying cause ... Persistent bacteremia/fevers
Case of Fitz-Hugh-Curtis (FHC) on CT

28F +4d RUQ pain worse w/ inspiration, 102F fever, no vaginal
Case of Fitz-Hugh-Curtis ... (FHC) on CT ... inspiration, 102F fever ... of liver capsule ... #Clinical #Radiology
Echinococcal Cysts in the Liver- The physical examination revealed hepatomegaly with a palpable hepatic mass. Laboratory
right lobe of the liver ... Hydatid disease is caused ... #clinical #NEJM ... #hepatic #radiology ... #CT #ultrasonography
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
• Most common cause ... Lung Abscess - Clinical ... : • 80% have fever ... seen • Chest CT ... Lung #Abscess #pulmonary
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
Tricuspid Valve Endocarditis ... presents with fever ... septic emboli (see CT ... Echocardiogram #clinical ... #cardiology #s4c