28 results
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
of liver, Dengue ... , infective endocarditis ... or elevation of liver ... Typhoid, amebic liver ... fluke, amebic liver
Liver Abscess on POCUS Ultrasound

Fever and RUQ pain/tenderness isn't always chole. In this patient population make
Liver Abscess on ... Fever and RUQ ... sure to sweep the liver ... with spontaneous liver ... #Liver #Abscess
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Acute bacterial endocarditis ... infection • Abscess ... • Hepatic abscess ... Brucellosis • Liver ... or lung abscess
PCI Stent Coronary Abscess - Infective Pseudoaneurysm on Echocardiogram

PCI Stent Coronary Abscess - Infective Pseudoaneurysm after
Stent Coronary Abscess ... Pseudoaneurysm on Echocardiogram ... High grade fever ... Pseudoaneurysm #Echocardiogram ... #POCUS #clinical
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
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
• Myocardial abscess ... • Persistent fever ... • Aggressive management ... arthritis, splenic abscess ... criticalcare #diagnosis #management
Mitral Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.

Dr. Robert Jones @RJonesSonoEM

#MitralValve
Mitral Valve Endocarditis ... on POCUS Echocardiogram ... presents with fever ... MitralValve #MV #Endocarditis ... #POCUS #Echocardiogram
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
for Infective Endocarditis ... or intracardiac abscess ... or intracardiac abscess ... involvement - Echocardiogram ... Predisposition • Fever
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
Spinal Epidural Abscess ... : IVDU, dental abscess ... , HD catheter, endocarditis ... but rare triad: Fever ... #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... annular or aortic abscess ... Complications: Abscess ... Persistent bacteremia/fevers ... #diagnosis #management