36 results
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Acute bacterial endocarditis ... • Infective endocarditis ... • Leptospirosis ... • Malaria • Leptospirosis ... Brucellosis • Liver or lung
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... most common) Clinical ... to rnonths • Fever ... meropenem) #Lung ... Diagnosis #Pulmonary #Clinical
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
healthy pt with fever ... POCUS lung exam ... Lung POCUS shows ... Lung POCUS invaluable ... #POCUS #clinical
COVID-19 on POCUS

I'm infected COVID19.  Lung POCUS  day 4 after onset of symptoms. No
COVID-19 on POCUS ... Lung POCUS day ... No fever, basal ... lower posterior lung ... #Clinical #Lung
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... verrucous) • Lung ... Hypercoagulable (APLAS) Microbiology ... night sweats, fever ... Persistent bacteremia/fevers
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
, HD catheter, endocarditis ... Alcoholism, DM, HIV Microbiology ... most common (63%) Clinical ... but rare triad: Fever
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Clinical Features ... (SLE) General: Fever ... effusion, Restrictive lung ... Pericarditis, Endocarditis
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
SIow growing, Long ... • Cellulitis: Fever ... 13%), Pneumonia, Endocarditis ... Capnocytophaga #canimorsus #microbiology
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Presentation: Fever ... Pulmonary Disease: Clinical ... • Fever and weight ... Disease: • Clinical ... diagnosis • Microbiologic
Tricuspid Valve Endocarditis on POCUS Echocardiogram

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