15 results
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... to rnonths • Fever ... , hemoptysis Treatment ... • Carbapenem (e.g ... Pulmonary #Clinical #CXR
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 ... point-of-care ultrasound ... #Abscess #Hepatic ... #Radiology
A 50 yo F with a history of poor dentition presents to the ED with fever
to the ED with fever ... A CXR is done. ... consistent w/ lung abscess ... #Clinical #Radiology ... #CXR #ChestXRay
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
: • 80% have fever ... Blood cultures • CXR ... early disease) • CXR ... decubitus - air fluid level ... • Vasculitis (e.g
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 • Stand at foot of bed
 • Introduce yourself
• Confirm IV access ... EKG. ... CXR Repeatedly ... Orders placed, treatments ... questions "Never
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... - 80% have fever ... organ damage • Treatment ... unless worrisome EKG ... diagnosis #management #hematology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Presentation: - Fever ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... diagnosis #management #cardiology
Imaging Modalities for Renal Calculus

AXR. KUB
 - Good far calcium-containing stones useful when limited radiation dose
Renal Calculus AXR ... is desirable, e.g ... diverticulae). degree and level ... with surgical access ... stones #calculus #Radiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... ↑ ESR, CRP • EKG ... Complications: Abscess ... Persistent bacteremia/fevers ... diagnosis #management #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Troponin, Lactate, Liver ... and/or digoxin level ... (no B-lines on ultrasound ... Revascularization, treatment ... #HeartFailure #Cardiology