11 results
Liver Abscess
•	Pyogenic abscess, accounts for 80% of abscess.
•	Amebic abscess due to Entamoeba histolytica, accounts for 10%.
•	Fungal
Liver Abscess • ... 50% of solitary liver ... in the right Liver ... • Fever in 90% ... cm Continuous 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 ... 1016714544352116736 #Liver ... #Abscess #Hepatic ... #Clinical #POCUS
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
infection • Abscess ... Non-Infectious Causes ... • Hepatic abscess ... Brucellosis • Liver ... or lung abscess
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... , Metastasis #Liver ... Contrast #CT #MRI #POCUS ... #radiology #differential ... diagnosis #comparison #table
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
Pyogenic liver abscess ... Common bacterial causes ... through: - Hepatic ... artery (e.g., endocarditis ... febrilepodcast.com] #pyogenic #liver
Purpura - Differential Diagnosis Framework

Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
deficiency • Liver ... Cholesterol emboli • Septic ... mountain spotted fever ... • Bacterial endocarditis ... Differential #Diagnosis #hematology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Glomerulonephritis Septic ... Emboli Cause Injury ... Persistent bacteremia/fevers ... diagnosis #management #cardiology
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
• Persistent fever ... metastatic infection (endocarditis ... , epidural abscess ... • Persistent fever ... after treatment
Appearance of Liver Lesions on Contrast Enhanced Ultrasound - Early arterial, Grayscale phase, Late arterial phase,
Appearance of Liver ... , Metastasis #Liver ... Ultrasound #Contrast #POCUS ... #radiology #differential ... diagnosis #comparison #table
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
night sweats, fever ... emboli cause injury ... hematuria, + RF Treatment ... Treat underlying cause ... Persistent bacteremia/fevers