9 results
Horizontal reverberation artifacts - A-lines are visualized as hyperechoic, horizontal artifacts at regular intervals deep to
Note the ribs (r ... field #Clinical #EM ... #Radiology #PCC ... #Lung #ALines #ALiEM
Pediatric Fever Without a Source - 3 months to 3 years - Additional Workup Beyond Urine
Pediatric Fever ... Conjugate Vaccines (PCV ... Management #Peds #EM ... #Workup #Algorithm ... #NoUTI #ALiEM
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
Fever of Unknown ... Refer to your ‘Fever ... Returning Traveler’ algorithm ... Lymph node biopsy ... udaygulati #FUO #Fever
Spinal Epidural Abscess - Classic triad (back pain + fever + neuro deficits) found in only
triad (back pain + fever ... 13% #Diagnosis #EM ... Epidural #Abscess #Algorithm ... #ALiEM
Possible Algorithm for Workup of Fever of Unknown Origin (FUO)
Tier 1 Workup:
 • CBC, comprehensive metabolic
Possible Algorithm ... for Workup of Fever ... , Bone marrow, Lymph ... node, Liver • ... #Fever #Unknown
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
lungs and regional lymph ... nodes Risk Factors ... Active TB: • Fever ... : • Pleura • Lymph ... nodes • Central
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
lungs and regional lymph ... nodes Risk Factors ... Active TB: • Fever ... : • Pleura • Lymph ... nodes • Central
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Yeast → travel to lymph ... nodes → spread ... respiratory symptoms • Fever ... transplantation • MCC ... • Isolated fever
Rickettsialpox Eschar

40 homeless male from NY admitted with fever, chills, headache, myalgias. Diagnosis?
Rickettsialpox R akari classic
admitted with fever ... classic triad of fever ... draining tender lymph ... nodes are common ... Dx: serology; pcr