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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 # ... infectiousdisease #fever
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... disease • Behcet's syndrome ... • Hyper-IgD syndrome ... receptor-associated periodic syndrome ... #Patterns #Differential
Differential Diagnosis - Fever of Unknown Origin (FUO)

IMADE mnemonic:
 • Infection
 • Malignancy
 • Autoimmune (Rheumatologic)
Differential Diagnosis ... - Fever of Unknown ... • Autoimmune (Rheumatologic ... udaygulati #FUO #Fever ... UnknownOrigin #Differential
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
Fever of Unknown ... FUO) - Further Workup ... Refer to your ‘Fever ... node biopsy • Clinical ... udaygulati #FUO #Fever
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
• Typhoid Fever ... CLINICAL UTILITY ... Typhoid Fever (S ... help hone your differential ... Dissociation #diagnosis #differential
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
Differential Diagnosis ... Noninfectious Causes of Fever ... CRITICAL DIAGNOSES ... DIAGNOSES - Drug fever ... #Fever #Noninfectious
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 ... - Nonremitting fever ... #Rheumatology
Approach to Hypoproliferative Macrocytic Anemia

 • 812, Folate Deficiency
 • MDS+
 • Hypothyroid
 • Liver Disease
Hypothyroid • Liver ... Macrocytic #Anemia #differential ... diagnosis #algorithm #hematology ... #workup
Fever and Rash - Differential Diagnosis Framework
 • Viral: Measles, Infectious Mono (EBV, CMV), Acute HIV,
Fever and Rash - ... Differential Diagnosis ... , DRESS, Sweet syndrome ... Medicine @SCVMCMed #Fever ... #Rash #Differential
Erythematous Rashes - THE ALGORITHMIC APPROACH

Characterized by diffuse redness of the skin due to
capillary congestion, erythematous
or absence of fever ... If fever is present ... disease, scarlet fever ... but without a fever ... Nikolsky #Febrile #Fever