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Search Patient Charts: Septic

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Search Results for => Septic <= Result Items 1 - 20

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Case ID: 14040 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Spine, Epidural Abscess; Septic Arthritis right shoulder
	History	43 year old man presents with back pain and bilateral leg weakness, as well as right shoulder pain and swelling. PMH - Known IV drug abuser.
	Findings	• Epidural mass at L3 with contiguous abscess in adjacent posterior paraspinal muscles. • Septic effusion right shoulder.
	Differential Dx	» Spine findings (extradural mass) • Hematoma • Trauma • Epidural abscess » Shoulder findings • Crystal arthropathy • Septic arthritis
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	Alice Boyd Smith :: Uniformed Services University - Case Accepted: 2011-12-13 13:17:35-05 :: Revised: 2011-12-09 15:06:55.879066-05 :: Submitted: 2011-12-09 15:06:55.879066-05

Case ID: 13733 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Multifocal brain abscess, Septic emboli from endocarditis
	History	62 year old man with fever and positive blood cultures. Endocarditis suspected clinically. Noted to have declining level of consciousness in ICU over past 24 hours.
	Findings	• Multiple cerebral and cerebellar ring enhancing lesions most of which are associated with restricted diffusion. • Gyral enhancement left frontal lobe.
	Differential Dx	• Encephalitis • Ischemic infarction • Septic emboli and brain abscess • Metastatic disease • Toxoplasmosis
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2011-12-13 13:17:35-05 :: Revised: 2011-12-09 15:06:55.879066-05 :: Submitted: 2011-12-09 15:06:55.879066-05

Case ID: 13697 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Pyogenic Hemorrhagic Septic emboli
	History	65 year old woman presents with visual problems. She had an aortic valve replaced two months ago.
	Findings	• Bliateral occipital lobe hemorrhagic lesions with surrounding edema. • Minimal entrancement following contrast administration.
	Differential Dx	• Trauma • Amyloid angiopathy • Metastatic disease • Septic or mycotic emboli • Hemorrhagic Vasculitis
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2011-12-13 13:17:35-05 :: Revised: 2011-12-09 15:06:55.879066-05 :: Submitted: 2011-12-09 15:06:55.879066-05

Case ID: 13523 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Septic Pulmonary Embolism
	History	Patient is a 53-year-old white female who was found down with altered mental status and is a possible TCA overdose. She was found to be in respiratory distress by EMS and was intubated in the field. Pt has a personal history significant for opioid drug abuse and depression. Family history is significant for diabetes and coronary artery disease.
	Findings	CT of the chest w/o contrast shows bilateral pleural effusions with right greater than left and adjacent atelectasis. There are multiple rounded pulmonary nodules in both lungs predominant in the right with focal cavitations. There is also diffuse groundglass opacity and septal thickening in the left upper lobe extending into the left lower lobe. The nodules in the left lung are predominantly in the peripheral left lower lobe. Mildly enlarged mediastinal nodes measuring up to 1.5 cm in short axis are likely reactive. No pericardial effusion. The central airways are patent. Endotracheal tube terminates in the midtrachea. Gastric and feeding tubes extend into the stomach. The visualized upper abdomen is without significant abnormalities. No aggressive bone lesions.
	Differential Dx	(1) Septic Pulmonary Embolism (2) Wegener’s granulomatosis (3) Fungal infection (4) Tuberculosis (5) Metastases
	Discussion	... (continues ...)
	User Group
	Contributor	Thomas D Johnston :: University of Kentucky -
	Reviewer	Steven J Goldstein :: University of Kentucky - Case Accepted: 2011-12-13 13:17:35-05 :: Revised: 2011-12-09 15:06:55.879066-05 :: Submitted: 2011-12-09 15:06:55.879066-05

Case ID: 13497 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Septic Pulmonary Emboli
	History	49-year-old male with PMH significant for end stage renal disease s/p external arteriovenous shunt placement for home dialysis presents with complaint of 3 days of fevers, chills, nausea, vomiting, anorexia, cough and pleuritic chest pain. Patient had similar signs and symptoms 1 year, was found to have MSSA bacteremia with Septic pulmonary emboli. Following shunt replacement and antimicrobial therapy he demonstrated improvement. Denies tobacco, alcohol or illicit drug use. No family history of pulmonary disease or cancer
	Findings	Rads: AP CXR demonstrates patchy alveolar infiltrates in bilateral lower lung zones. Representing loculated pleural effusions Chest CT demonstrates bilateral effusions with R>L. Multiple bilateral peripherally distributed nodular opacities with cavitations and feeding vessels leading to the peripheral lung lesions
	Differential Dx	C- Carcinoma - Squamous is most common A- Autoimmune - Wegener's granulomatosis, Rheumatoid nodules V- Vascular - Emboli (Septic emboli or bland emboli) I- Infection - Lung abscess, Bacterial pneumonia, Fungal pneumonia, Tuberculosis, Pneumatocele T- Trauma - Pulmonary laceration Y- Young (congenital) - Congenital cystic adenomatoid malformation, Pulmonary sequestration, Bronchogenic cyst
	Discussion	... (continues ...)
	User Group
	Contributor	James D Wallace :: Uniformed Services University -
	Reviewer	Les R Folio :: Uniformed Services University - Case Accepted: 2011-12-13 13:17:35-05 :: Revised: 2011-12-09 15:06:55.879066-05 :: Submitted: 2011-12-09 15:06:55.879066-05

Case ID: 13186 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Septic Emboli
	History	48 year old male with MRSA bacteremia
	Findings	multiple peripheral cavitary lung lesions
	Differential Dx	DDX-Wegener’s granulomatosis, lung abscess, pneumatoceles, metastases, pneumonia, pulmonary emboli
	Discussion	... (continues ...)
	User Group
	Contributor	Mariusz A Olszewski :: National Capital Consortium -
	Reviewer	Albert V Porambo :: Civilian Medical Center - Case Accepted: 2011-12-13 13:17:35-05 :: Revised: 2011-12-09 15:06:55.879066-05 :: Submitted: 2011-12-09 15:06:55.879066-05

Case ID: 13099 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Brain abscess from Septic endocarditis
	History	30 year old woman with 1 week history of fever, headache, and sternal pain. History of IV drug abuse.
	Findings	•Complex ring enhancing lesion left parietal lobe. •Dural enhancement adjacent to lesion. •Restricted diffusion on DWI images.
	Differential Dx	•Meningoencephalitis vs. abscess •Cerebral infarction •Tumor •Vasculitis
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2011-12-13 13:17:35-05 :: Revised: 2011-12-09 15:06:55.879066-05 :: Submitted: 2011-12-09 15:06:55.879066-05

Case ID: 11927 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Septic arthritis with effusion Lt Hip
	History	36yr old patient with pain left hip.
	Findings	Superior Hip joint narrowing with effusion and synovitis.
	Differential Dx	Septic Arthritis PVNS Rheumatoid arthritis Avascular Nacrosis with secondary OA
	Discussion	... (continues ...)
	User Group
	Contributor	Sunil P Thomas :: Affiliation Unlisted - Please See Comments -
	Reviewer	Eric A Walker :: Penn State University - Case Accepted: 2011-12-13 13:17:35-05 :: Revised: 2011-12-09 15:06:55.879066-05 :: Submitted: 2011-12-09 15:06:55.879066-05

Case ID: 11783 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Septic Brain Emboli, Endocarditis (MRSA)
	History	54 year old man presents with seizure and loss of hearing left ear.
	Findings	• Multiple enhancing brain lesions • Enhancement of left Cochlea and vestibule • Enhancement left CN VII
	Differential Dx	• Mycotic emboli • labyrinthitis, bacterial or viral
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2011-12-13 13:17:35-05 :: Revised: 2011-12-09 15:06:55.879066-05 :: Submitted: 2011-12-09 15:06:55.879066-05

Case ID: 11356 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Thromboembolic Stroke Secondary to Septic Emboli
	History	A 32 year old man presents this morning with a new right hemianopsia.
	Findings	On T2, there is abnormal increased signal in the medial left occipital lobe. Dark on the ADC and bright on DWI, this is restricted diffusion from cytotoxic edema - consistent with acute cerebral ischemia. The conventional angiogram demonstrates an abrupt cut off of the left PCA that results in decreased perfusion to the left occipital lobe, on the arterial phase images.
	Differential Dx
	Discussion	... (continues ...)
	User Group
	Contributor	Michael J Reiter :: National Capital Consortium -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2011-12-13 13:17:35-05 :: Revised: 2011-12-09 15:06:55.879066-05 :: Submitted: 2011-12-09 15:06:55.879066-05

Case ID: 11208 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Brain, cerebral abscess, Ependymitis and Septic emboli
	History	47 y.o. man who suffered a wooden foreign body injury to the left eye three weeks prior to admission. Admitted now with headache, seizures, and decreased mental status.
	Findings	• Abscess left occipital lobe • Ependymitis • Septic emboli
	Differential Dx	• Metastatic disease • Primary Tumor
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2011-12-13 13:17:35-05 :: Revised: 2011-12-09 15:06:55.879066-05 :: Submitted: 2011-12-09 15:06:55.879066-05

Case ID: 10755 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Angioinvasive aspergillosis with Septic cerebral emboli
	History	41 year old man with history of acute myelocytic leukemia, 4 month status bone marrow transplant. MRI ordered to because of lethargy and decreased level of consciousness
	Findings	• CT chest: Bilateral pulmonary airspace disease with "halo sign" characteristic of hemorrhage. New splenic and liver lesions probably due to infarcts and infection. • MRI Brain: Multiple enhancing lesions in left cerebellum and right frontal white matter.
	Differential Dx	• Septic emboli • Demylinating disease • Bland infarcts
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	Steven J Goldstein :: University of Kentucky - Case Accepted: 2011-12-13 13:17:35-05 :: Revised: 2011-12-09 15:06:55.879066-05 :: Submitted: 2011-12-09 15:06:55.879066-05

Case ID: 8679 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Pulmonary Septic Emboli
	History	Three days of fever and new RUQ pain, with a history of Sickle Cell Anemia.
	Findings	Multiple nodular and hazy opacities of lung bases. No frank lobar consolidations. Non-contrast study-cannot determine presence of adenopathy well.
	Differential Dx	Vasculitis Pulmonary metastases multiple pulmonary emboli of fungal origin
	Discussion	... (continues ...)
	User Group
	Contributor	Dana G. Borgeson :: Naval Medical Center Portsmouth -
	Reviewer	Valentine W. Curran :: Naval Medical Center Portsmouth - Case Accepted: 2011-12-13 13:17:35-05 :: Revised: 2011-12-09 15:06:55.879066-05 :: Submitted: 2011-12-09 15:06:55.879066-05

Case ID: 8631 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Pulmonary Septic Emboli
	History	h/o chronic renal failure on long-term hemodialysis. Now with new onset fever, shaking chills and cough.
	Findings	Muptiple peripheral pulmonary nodules w/ and w/o caviation and bilateral pleural efffusions.
	Differential Dx	Septic emboli non-Septic pulmonary emboli pulmonary mets
	Discussion	... (continues ...)
	User Group
	Contributor	William R Graf :: Naval Medical Center Portsmouth -
	Reviewer	David S. Feigin, M.D. :: Johns Hopkins Hospitals - Case Accepted: 2011-12-13 13:17:35-05 :: Revised: 2011-12-09 15:06:55.879066-05 :: Submitted: 2011-12-09 15:06:55.879066-05

Case ID: 7995 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Puerperal Septic Pelvic Thrombophlebitis
	History	26 yo female 4 days post partum with fever.
	Findings	Left ovarian vein thrombosis extending superiorly in the left renal vein.
	Differential Dx	Ovarian vein thrombosis Septic pelvic thrombophlebitis pelvic retroperitoneal abscess
	Discussion	... (continues ...)
	User Group
	Contributor	Brian A Singleton :: National Naval Medical Center Bethesda -
	Reviewer	William D Craig :: Uniformed Services University - Case Accepted: 2011-12-13 13:17:35-05 :: Revised: 2011-12-09 15:06:55.879066-05 :: Submitted: 2011-12-09 15:06:55.879066-05

Case ID: 6418 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Septic arthritis w/ cellulitis (Staph Aureus recovered from joint aspirate)
	History	36 yo with complaint of non traumatic right elbow pain.
	Findings	Moderate right elbow joint effusion with out evidence of osseous involment.
	Differential Dx	Infection, Cystaline arthropathy
	Discussion	... (continues ...)
	User Group
	Contributor	Aaron Cho :: Naval Medical Center Portsmouth -
	Reviewer	Stephanie A Bernard :: Penn State University - Case Accepted: 2011-12-13 13:17:35-05 :: Revised: 2011-12-09 15:06:55.879066-05 :: Submitted: 2011-12-09 15:06:55.879066-05

Case ID: 5817 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Septic arthritis
	History	6 year-old Caucasian male complained of fevers and pain of the left knee and proximal tibia.
	Findings	Plain radiographs: 1) Left knee – normal 2) Left tibia/fibula – normal 3) Left hip – normal MRI: 1) Left knee – normal 2) Coronal STIR MR image shows a left joint effusion
	Differential Dx	1) Septic arthritis 2) Toxic synovitis
	Discussion	... (continues ...)
	User Group
	Contributor	MS-4 USU Teaching File :: Uniformed Services University -
	Reviewer	Lorraine G. Shapeero, M.D. :: Uniformed Services University - Case Accepted: 2011-12-13 13:17:35-05 :: Revised: 2011-12-09 15:06:55.879066-05 :: Submitted: 2011-12-09 15:06:55.879066-05

Case ID: 4092 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Changes of chronic Septic arthritis
	History	History of spetic arthritis and limb length discrepancy.
	Findings	Superior migration of left femoral neck with pseudo-acetabular formation. Partial remains of femoral head can be seen in deformed true acetabulum.
	Differential Dx	1. Advanced arthritis (purulent, rheumatoid, degenerative, posttraumatic) 2. Avascular necrosis 3. Congenital dislocation 4. Legg-Perthes disease
	Discussion	... (continues ...)
	User Group
	Contributor	Justin Dodge :: Tripler Army Medical Center -
	Reviewer	:: - Case Accepted: 2011-12-13 13:17:35-05 :: Revised: 2011-12-09 15:06:55.879066-05 :: Submitted: 2011-12-09 15:06:55.879066-05

Case ID: 4004 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Septic Arthritis, Coccidiomycosis
	History	28 year-old female with history of disseminated coccidiomycosis for four years.
	Findings	Plain film: No fracture or dislocation. Large effusion is present. There is a well-defined lesion with dense sclerotic border and with a lucent center within the lateral femoral epicondyle, unchanged from prior films. MRI: Large joint effusion. Heterogenous soft tissue thickening is noted along the synovial lining posterior to the posterior cruciate ligament. There is edema within the soft tissues at the posterior aspect of the knee but no evidence of soft tissue abscess. A 1.7 cm long defect is seen in the lateral femoral condyle. This contains fat signal intensity. There is a mild amount of edema within the proximal tibia at the level of the intercondylar eminence. No evidence of bone abscess. The cruciate and collateral ligaments appear intact. A high signal defect extends through the full thickness of the body of the lateral meniscus at its free edge, and this is compatible with a focal radial tear. No definite tear involving the medial meniscus.
	Differential Dx
	Discussion	... (continues ...)
	User Group
	Contributor	MS-4 USU Teaching File :: Uniformed Services University -
	Reviewer	:: - Case Accepted: 2011-12-13 13:17:35-05 :: Revised: 2011-12-09 15:06:55.879066-05 :: Submitted: 2011-12-09 15:06:55.879066-05

Case ID: 3941 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Septic arthritis w/ cellulitis
	History	9 y/o female presented to the Pediatric clinic with a four day history of increasing right toe pain (at the MTP joint), with swelling, warmth, and erythema. Pt. denies recent trauma to the extremity, symptoms of URI, UTI, or systemic infection. Pt. denies exotic exposures. No other family members are ill.
	Findings
	Differential Dx
	Discussion	... (continues ...)
	User Group
	Contributor	MS-4 USU Teaching File :: Uniformed Services University -
	Reviewer	:: - Case Accepted: 2011-12-13 13:17:35-05 :: Revised: 2011-12-09 15:06:55.879066-05 :: Submitted: 2011-12-09 15:06:55.879066-05

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