9 results
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
Liebermeister's Rule Pulse-Temperature ... INCREASES 8-10 BPM INFECTIOUS ... • Viral Hemorrhagic ... limited predictive value ... in pulse-temperature
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Faget Sign - Pulse-Temperature ... Bradycardia • Infectious ... Viral hemorrhagic ... • Non-Infectious ... #bradycardia #differential
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Causes: • Still's ... : Temperature rises ... Pulse Dissociation ... #Patterns #Differential
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
sclerosis (both heart valve ... • Infective Endocarditis ... • Mitral Regurgitation ... • Mitral Stenosis ... Infarction • Pulmonary
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Involves aortic and mitral ... night sweats, fever ... Cerebral > Splenic, pulmonary ... Septic Emboli Cause ... Marantic (NTBE) Differential
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... Drugs • ICP / Infections ... Hyperkalemia Pulmonary ... Endocarditis + ... • Post cardiac/Valve
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
infection • ... Subacute bacterial endocarditis ... infection, Amyloidosis ... Diminished peripheral pulses ... #joint #pain #differential
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... involves aortic and mitral ... night sweats, fever ... Cerebral > Splenic, Pulmonary ... #Endocarditis #Differential
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... diminished, or tender pulses ... claudication, pulse ... tract, and often causes ... urticaria, recent viral