12 results
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Dysplastic nodule, Hepatic ... Liver #Lesions #Hepatic ... Contrast #CT #MRI #POCUS ... #radiology #differential ... #diagnosis #comparison
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - Differential ... • Typhus, gram-negative ... • Hepatic abscess ... Associated with Relative ... Fever #Patterns #Differential
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
Using IV heroin • Negative ... vegetation secondary to endocarditis ... #Clinical #POCUS ... #Echocardiogram ... PLAX #Infective #Endocarditis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... • Coagulase-negative ... Glomerulonephritis Septic ... Marantic (NTBE) Differential ... #Endocarditis
Tricuspid Vegetations in Endocarditis on POCUS Echocardiogram (s4c)
There are times you do a bedside echo on
Vegetations in Endocarditis ... on POCUS Echocardiogram ... bedside echo on a septic ... factors for TV endocarditis ... #POCUS #Echocardiogram
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
Tricuspid Valve Endocarditis ... on POCUS Echocardiogram ... frequently have lung septic ... TricuspidValve #TV #Endocarditis ... #POCUS #Echocardiogram
This massive burden of tricuspid valve vegetation was caught in a young patient with septic shock.
young patient with septic ... EM_RESUS #Clinical #POCUS ... #Echocardiogram ... Tricuspid #Vegetation #Endocarditis
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... aureus, Coagulase-negative ... staphylococci Culture Negative ... tumor embolism Septic ... #Differential #
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
• Enteric gram negative ... from contiguous focus ... through: - Hepatic ... artery (e.g., endocarditis ... children #peds #differential
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Right Atrium - Differential ... DrAkramNeyaz #Negative ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble