51 results
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Pregnancy • Fever ... Heart Disease Pulmonary ... • Rheumatic Fever ... • Rheumatic Fever ... • Rheumatic Fever
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
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
., CXR, CT, ultrasound ... Inflammation (e.g., fever ... procalcitonin) - Pulmonary ... Diagram #Diagnosis #Pulmonolary
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
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
Based on the images alone, it is usually not possible to determine the cause of the
chronic illness, clinical ... with cough and fever ... with low oxygen level ... #Clinical #Diagnosis ... #Radiology #CXR
Endocarditis Summary

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

RUSH exam for fever, hypotension, abd pain.  You notice this in RUQ.
RUSH exam for fever ... See CT scan. ... Abscess #POCUS #ultrasound ... #clinical #Crohns
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
abdomen & pelvis CT ... vegetation secondary to endocarditis ... young patient with fever ... #Clinical #POCUS ... PLAX #Infective #Endocarditis