17 results
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... /symptoms or echo ... is required for diagnosis ... Clinical features: Fever ... Clinical features: Fever
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Feeding Vessel Sign ... on Chest CT • ... • DDx: Septic emboli ... #CT #Lung #Pulmonary ... #diagnosis #radiology
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Frequent Differential Diagnoses ... infection Cardinal Symptoms ... localizing signs ... or symptoms - Malaria ... embolism, malaria
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Cerebral > Splenic, pulmonary ... Diagnosis? ... Persistent bacteremia/fevers ... #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... w/ septic pulmonary ... • Persistent fever ... with multiple embolic ... #diagnosis #management
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... infiltrate (e.g., CXR, CT ... Inflammation (e.g., fever ... symptoms (e.g., ... chest pain) and signs
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
is a radiologic sign ... may aid in the diagnosis ... of pulmonary embolism ... with chest CT angiography ... EmergencyMedicine #CriticalCare
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... night sweats, fever ... Cerebral > Splenic, Pulmonary ... Persistent bacteremia/fevers ... #cardiology #infectiousdiseases
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
/Symptoms: • Usually ... cystitis, may have fever ... be present or signs ... , specifically CT ... present • UA and Urine
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
- Differential Diagnosis ... - Low-grade fever ... insufficiency, fever ... • Signs/Symptoms ... • Signs/Symptoms