Bedside Ultrasound Picture Quiz 5 – #FOAMed, #FOAMcc

A 55 year old man admitted to the ICU for sepsis, recovering multi-organ failure with persistent culture-negative fever.

Longitudinal view of the left internal jugular vein.

What do you see?

BUPQ5-Q

scroll below for an answer!

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BUPQ5-A

 

Thrombosed internal jugular catheter. This patient was anticoagulated. The fever disappeared within a few days and the thombosis decreased significantly.  It is difficult to be certain whether the fever was a cause but examining central lines is part of our fever workup.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s