7928 results
Status Dystonicus on Neurological Exam

Young man with recent onset worsening of his generalized dystonia , fever
generalized dystonia , fever ... and a CPK level ... Clinical features ... are fever, tachycardia ... Status #Dystonicus #clinical
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
• Headache • Fever ... • Common clinical ... meningeal signs (fever ... predominance • Protein level ... dL • Glucose level
Tapioca Pearls (Boba) on Gastric POCUS and CT (Incidental finding)
15 y/o male with abdominal pain without
abdominal pain without fever ... c-reactive protein level ... CT #ultrasound #clinical
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
disease • Periodic fever ... syndromes Clinical ... multiorgan failure • Fever ... is the main clinical ... - Nonremitting fever
Based on the images alone, it is usually not possible to determine the cause of the
chronic illness, clinical ... with cough and fever ... with low oxygen level ... #Clinical #Diagnosis
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - ... Continuous Fever ... (Step ladder: fever ... Intermittent Fever ... or no fever
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... , Dengue fever, ... Mountain spotted fever ... , Drug fever
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Fever in Returning ... Symptoms: • Fever ... , Dengue fever, ... typhoid, yellow fever ... , Lassa fever, acute
Aplastic Anemia - Overview

Who?
• M = F
• 3 peaks:	1) Childhood	2) 15-25 years	3) >60 years

What?
• Aplastic anemia
Aplastic Anemia Clinical ... Presentation: • Fever ... recurrent infections/fevers ... index < 2 • EPO Level
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
accumulation of clinical ... Assessment • Clinical ... : fever +++, hepatosplenomegaly ... , ↓ Fibrinogen level