16 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
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
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
lactic acidosis) ACTIVATE ... CATH LAB ACCESS ... visualization with use of ultrasound ... DCSI #Initiative #Management ... #Cardiology
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
Lung cancer • Septic ... emboli • Lung abscess ... Active: Symptomatic ... TB: • Fever • ... TB #Diagnosis #Management
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
) • Advanced liver ... Analysis, muscle ultrasound ... targets for physical activity ... prevent or treat hepatic ... Cirrhosis #diet #management
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
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
Tricuspid Valve Endocarditis ... Patient with active ... presents with fever ... frequently have lung septic ... Echocardiogram #clinical #cardiology