11 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
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
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 ... #diagnosis #management ... #cardiology
Flutycosine - Antibiotics Class Overview
 - 
Mechanism: 5-FC interferes with DNA and protein synthesis.  Only
B for initial management ... candidal infections (endocarditis ... - Virtually never ... Thrombocytopenia) and Hepatic ... #Pharmacology #Antibiotics
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
• Persistent fever ... metastatic infection (endocarditis ... , epidural abscess ... osteomyelitis, septic ... • Persistent fever
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
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Endocarditis - Overview ... night sweats, fever ... tumor embolism Septic ... #Endocarditis ... Differential #Diagnosis #cardiology
Endocarditis - Diagnosis and Management Summary
What is it? Inflammation of endocardium, typically secondary to infection of
Endocarditis - Diagnosis ... and Management ... asymptomatic to septic ... w/ vegetation/abscess ... predisposition/lVDU, Fever
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Increased protein level ... normal glucose level ... Sinusitis • Brain abscess ... arthritis, and endocarditis ... Fungal #Diagnosis #Management