18 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
Unexpected source of fever ... : Liver abscess ... point-of-care ultrasound ... #Abscess #Hepatic ... #Radiology
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Summary Lung ... : • 80% have fever ... decubitus - air fluid level ... Intervention: - Fevers
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
- Diagnosis and ... Management Summary ... active ROM +/- fever ... arthritis diagnosis ... #Management #Summary
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
• Myocardial abscess ... • Persistent fever ... • Aggressive management ... #criticalcare #diagnosis ... #management
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
• Persistent fever ... endocarditis, epidural abscess ... osteomyelitis, septic ... • Persistent fever ... Algorithm #CRBSI #diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... night sweats, fever ... Glomerulonephritis Septic ... Persistent bacteremia/fevers ... #management #cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Presentation: - Fever ... #Myocarditis #diagnosis ... #management #cardiology ... #summary #biopsy
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
• Clinical: fever ... +++ (Plt, Hb), Hepatic ... , ↓ Fibrinogen level ... #management #treatment ... #summary #rheumatology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Summary • Hypotension ... Setup - Ultrasound ... #Management #Summary
Endocarditis - Diagnosis and Management Summary
What is it? Inflammation of endocardium, typically secondary to infection of
and Management ... Summary What is ... w/ vegetation/abscess ... predisposition/lVDU, Fever ... #Summary #duke