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Oroya Fever Hematologic disease caused by Bartonella bacilliformis Restricted to the Andes highlands of Peru & Ecuador B. bacilliformis:
intracellular, Aerobic - Cocci ... Lutzomyia verrucarum Clinical ... Nodular → Mular DIAGNOSIS ... Peripheral smear - Cocci ... #diagnosis #management
Fever and Rash - Differential Diagnosis Framework • Viral: Measles, Infectious Mono (EBV, CMV), Acute HIV,
Fever and Rash - ... Differential Diagnosis ... Cellulitis • Fungal: Cocci ... Medicine @SCVMCMed #Fever ... #Differential #Diagnosis
Gram Stain - Bacteria Identification Algorithm Gram Positive: • Rods: Oxidase+, Oxidase-, Fastidious, Anaerobic, Curved • Cocci:
Anaerobic, Curved • Cocci ... Catalase- • Cocci ... #microbiology #diagnosis
Faget Sign - Pulse-Temperature Dissociation Causes of Relative Bradycardia • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... , Dengue fever, ... , Drug fever ... #differential #diagnosis
Causes of Relative Bradycardia - Note the propensity for intracellular organisms. Infectious: Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... , Dengue fever, ... , Drug fever ... #differential #diagnosis
Faget's Sign & Liebermeister's Rule Pulse-Temperature Dissociation EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM INFECTIOUS
• Typhoid Fever ... • Drug Fever ... CLINICAL UTILITY ... Typhoid Fever (S ... #Dissociation #diagnosis
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - ... Differential Diagnosis ... Continuous Fever ... (Step ladder: fever ... #Differential #Diagnosis
Gram Positive Cocci - Bacteria Identification Algorithm Catalase(+) - Coag(+): Staphylococcus aureus - Coag(-)
Gram Positive Cocci ... #GramPositive #cocci ... microbiology #bacteria #diagnosis
Coccidiomycosis - Diagnosis Diagnosis: • Mildly elevated peripheral WBC, Eosinophilia (25%), Elevated ESR, Procalcitonin normal (95%) •
Coccidiomycosis - Diagnosis ... Diagnosis: • Mildly ... space) • ElA for Cocci ... & Blood & CSF (Cocci ... #Coccidioides #Diagnosis
Ever had a #traveler come in to your clinic with #fever and you were not sure
Ever had a #traveler ... come in to your clinic ... with #fever and ... differentials #diagnosis ... infectiousdisease #fever
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