22 results
Criteria for Patients Under Investigation for 2019 Novel Coronavirus (2019-nCoV) / COVID-19

Fever or signs/symptoms of lower
/ COVID-19 Fever ... or signs/symptoms ... onset Fever ... and signs/symptoms ... and signs/symptoms
Biphasic Illness of Leptospirosis
Some patients do not progress to severe disease. Others, rapidly develop severe disease
Biphasic Illness ... brief interval symptom ... -14 days): • Fever ... dysfunction) • Pulmonary ... Diagnosis #Illness #Signs
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... symmetrical T-waves ... V2 • Wellens sign ... A - Biphasic anterior ... pain • Wellens sign
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... - hyperacute T waves ... bigger than QRS - deWinter ... T waves - starts ... - Wellen's T - biphasic
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
infection Cardinal Symptoms ... localizing signs ... or symptoms - Malaria ... melioidosis, typhoid, pulmonary ... eosinophilia - Tropical pulmonary
Sarcoidosis 
Non-caseating granulomas (Composed of T-helper & inflammatory cells) 
Clinical:
 • Disease fatal in 10% of
Constitutional: Fever ... polyarthritis • Pulmonary ... Sarcoidosis #Diagnosis #Symptoms ... #Signs #Pulmonary
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - ... Continuous Fever ... periodic syndrome Biphasic ... falls (like a wave ... Brucellosis Faget's Sign
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
Fever of Unknown ... Workup • CNS symptoms ... Refer to your ‘Fever ... algorithm • Travel ... thin smear • Signs
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
., fever/hypothermia ... procalcitonin) - Pulmonary ... symptoms (e.g., ... chest pain) and signs ... Diagram #Diagnosis #Pulmonolary
Sarcoidosis
Stage 1 - Bilateral LAD without involvement of lung parenchyma
Stage 2 - Bilateral LAD with involvement
4 - Fibrosis Pulmonary ... chylothorax, and pulmonary ... gland sweling, fever ... Stages #Staging #Signs ... #Symptoms #Summary