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

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Valve Endocarditis ... Diptheria • Typhoid fever ... Acute rheumatic fever ... Psittacosis • Q fever ... • Yellow fever
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 ... : Liver abscess ... #Abscess #Hepatic ... #Clinical #POCUS ... #Ultrasound #Radiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
w/ septic pulmonary ... • Myocardial abscess ... • Persistent fever ... • Aggressive management ... Internet Book of Critical
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... night sweats, fever ... Cerebral > Splenic, pulmonary ... #diagnosis #management ... #cardiology
Aortic Valve Endocarditis on POCUS Echocardiogram (PLAX)
50 yo female presents with fever & flu-like symptoms.
Aortic Valve Endocarditis ... presents with fever ... Endocarditis #POCUS ... Echocardiogram #PLAX #clinical ... #ultrasound #cardiology
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... features: Fever ... features: Fever ... dysfunction common, Aortic ... root abscess often
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
Spinal Epidural Abscess ... , HD catheter, endocarditis ... most common (63%) Clinical ... but rare triad: Fever ... #diagnosis #management
Splenic Abscess on POCUS

Older male with IVDU presents with fever, abdominal pain and hypotension.  During
presents with fever ... Had Aortic valve ... endocarditis. ... Spleen #POCUS #clinical ... #ultrasound
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Clinical ... : • 80% have fever ... decubitus - air fluid level ... Intervention: - Fevers ... #pulmonary #differential