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Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Diagnoses Medical ... , Lassa fever, acute ... infection • Abdominal ... pain - Typhoid, ... amebic liver abscess
Right Upper Quadrant Pain
Liver:
 - Infectious: Acute viral hepatitis, Liver abscess
 - Non-infectious: hepatitis (Alcohol, Medications),
Upper Quadrant Pain ... Liver: - Infectious ... , Liver abscess ... differential #diagnosis ... #causes #abdominalpain
Liver Abscess
•	Pyogenic abscess, accounts for 80% of abscess.
•	Amebic abscess due to Entamoeba histolytica, accounts for 10%.
•	Fungal
Liver Abscess • ... in the right Liver ... • Fever in 90% ... & abdominal pain ... cm Continuous fever
Hepatobiliary Manifestations of Sickle Cell Disease
Acute sickle cell hepatic crisis:
 • Fever, acute onset RUQ pain,
hepatic crisis: • Fever ... cholestasis: • Fever ... liver failure ... Liver transplant ... #diagnosis
Causes of Acute Onset Fever - Differential Diagnosis Algorithm
Viral:
 • Rhinovirus
 • Influenza Virus
 • Parainfluenza
Causes of Acute ... Onset Fever - Differential ... Skin Infection Abscess ... disease • Drug fever ... #Fever #Acute
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Non-Infectious Causes ... Brucellosis • Liver ... #Patterns #Differential ... #Diagnosis #intermittent
Causes of Gallbladder Wall Thickening
Primary Wall Thickening:
1 . Acute calculous cholecystitis
2. Acute acalculous cholecystitis
3. Chronic cholecystitis
4.
Causes of Gallbladder ... Systemic Processes: Liver ... Typhoid, Dengue fever ... #differential # ... diagnosis
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Pain Causes - Differential ... potentially be an acute ... • Fever • Anorexia ... • Splenomegaly/Abscess ... #Causes #Differential
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... , vomiting, abdominal ... pain, headache, ... liver failure rapidly
Diseases of the Biliary Tract
Asymptomatic gallstones - Asymptomatic
Symptomatic gallstones - Biliary pain
Cholesterolosis of gallbladder - Usually
gallbladder cancer Acute ... , fever, Murphy ... , jaundice, fever ... biliary #diseases #differential ... #diagnosis #surgery