26 results
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
infection, infective endocarditis ... , leptospirosis, ... melioidosis, typhoid, pulmonary ... eosinophilia - Tropical pulmonary ... mononucleosis, infective endocarditis
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Leptospirosis Pathogen ... failure • Severe pulmonary ... Epidemiologic exposure + clinical ... TheIDtrivia #Leptospirosis ... #Leptospira #microbiology
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... most common) Clinical ... to rnonths • Fever ... Abscess #Diagnosis #Pulmonary ... #Clinical #CXR
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Hyperkalemia Pulmonary ... • Aortic Valve Endocarditis ... Acute rheumatic fever ... • Yellow fever ... Babesiosis • Leptospirosis
Aortic and Mitral Valve Vegetations in Endocarditis on POCUS - PLAX

Why would this 30 y/o male
Vegetations in Endocarditis ... on POCUS - PLAX ... mitral valves and pulmonary ... #Vegetations #Endocarditis ... #POCUS #PLAX #clinical
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... Hypercoagulable (APLAS) Microbiology ... night sweats, fever ... Cerebral > Splenic, pulmonary ... Persistent bacteremia/fevers
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... w/ septic pulmonary ... • Persistent fever ... Internet Book of Critical ... Care #Endocarditis
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
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Pneumonia on Lung POCUS ... healthy pt with fever ... POCUS lung exam ... /lung sliding: Pulmonary ... #clinical #ultrasound
Mitral Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.

Dr. Robert Jones @RJonesSonoEM

#MitralValve
Mitral Valve Endocarditis ... on POCUS Echocardiogram ... presents with fever ... #POCUS #Echocardiogram ... #clinical #cardiology