10 results
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
: Liver abscess ... point-of-care ultrasound ... #Abscess #Hepatic ... Clinical #POCUS #Ultrasound ... #Radiology
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... Contrast Enhanced Ultrasound ... #Lesions #Hepatic ... #Ultrasound #Contrast ... CT #MRI #POCUS #radiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC ... STEMI or NSTEMI) Cardiogenic ... visualization with use of ultrasound ... DCSI #Initiative #Management ... #Cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... and/or digoxin level ... (no B-lines on ultrasound ... #HeartFailure #Cardiology ... #Management
Appearance of Liver Lesions on Contrast Enhanced Ultrasound - Early arterial, Grayscale phase, Late arterial phase,
Appearance of Liver ... Contrast Enhanced Ultrasound ... #Lesions #Hepatic ... #Ultrasound #Contrast ... #POCUS #radiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Establish IV/IO Access ... Setup - Ultrasound ... resuscitation • Cardiogenic ... Shock - Septic
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Glomerulonephritis Septic ... Complications: Abscess ... Endocarditis #diagnosis #management ... #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... is essentially Cardiogenic ... differential #algorithm #management ... #cardiology #treatment ... icu #clinical #pharmacology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Testing: • TSH level ... thrombus • Digoxin level ... Anticoagulation: • Initial heparin ... AFib #diagnosis #management ... #cardiology
Endocarditis - Diagnosis and Management Summary
What is it? Inflammation of endocardium, typically secondary to infection of
Diagnosis and Management ... asymptomatic to septic ... /cardiogenic shock ... w/ vegetation/abscess ... predisposition/lVDU, Fever