11 results
ID Approach to Fever and Rash - Diagnostic Algorithm
Central Maculopapular (most common):
Measles, Parvovirus 819 / EBV,
ID Approach to Fever ... and Rash - Diagnostic ... Desquamative: Scarlet fever ... #Rash #Febrile ... #Diagnosis #Algorithm
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Pregnancy • Fever ... • Rheumatic Fever ... • Rheumatic Fever ... • Rheumatic Fever ... #Algorithm #causes
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 ... #Febrile #Fever
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Diagnosis Algorithm ... Red Flags: • Fever ... Schonlein Purpura - Endocarditis ... #Algorithm #Causes
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Diptheria • Typhoid fever ... Acute rheumatic fever ... Psittacosis • Q fever ... • Yellow fever ... #causes #cardiology
Petechial/Purpuric Rashes- THE ALGORITHMIC APPROACH 

These rashes can be especially challenging and are
associated with devastating differential
petechiae/purpura with fever ... gonococcal disease, endocarditis ... petechiae/purpura with fever ... the patient is afebrile ... Purpural #Purpuric #Rash
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
involvement - Echocardiogram ... Predisposition • Fever ... @swinndong via Febrile ... febrilepodcast] #Duke ... #diagnosis #major
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Septic Emboli Cause ... Suspicion -> TEE • Duke ... Treat underlying cause ... #cardiology
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
Mediated: • Febrile ... S/sx: Fever, flank ... have drop in Hct, fever ... maculopapular rash ... Sx include: fever
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
Mediated: - Febrile ... S/sx: Fever, flank ... have drop in Hct, fever ... maculopapular rash ... Sx include: fever