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Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
assessment - Vital signs ... - CBC with differential ... Carboxyhemoglobin level ... Substantially reduced level ... of infection (fever
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Bacterial Meningitis - Differential ... • Headache • Fever ... Acute meningeal signs ... (fever, nuchal ... CNS #Infections #differential
13 Dangerous Causes of Headache:
 - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
coagulopathy, decreased level ... CNS infection: fever ... thrombophilia, neurologic signs ... Dangerous #Deadly #Differential
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Faget Sign - Pulse-Temperature ... , Typhoid fever, ... , Dengue fever, ... 30048576/ #Faget #Sign ... #bradycardia #differential
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
Faget's Sign & Liebermeister's ... • Typhoid Fever ... help hone your differential ... #Fagets #Sign #Pulse ... Dissociation #diagnosis #differential
Ever had a #traveler come in to your clinic with #fever and you were not sure
Ever had a #traveler ... your clinic with #fever ... to narrow your differential ... #differentials # ... infectiousdisease #fever
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Fever in Returning ... Regions - Frequent Differential ... without localizing signs ... , Dengue fever, ... Returning #Traveler #differential
Acute Fever in-from the Tropics - Clinical Examination

#Tropics #Traveler #Fever #Differential #Signs #Diagnosis #InfectiousDiseases
Acute Fever in-from ... Tropics #Traveler #Fever ... #Differential # ... Signs #Diagnosis
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - ... Differential Diagnosis ... Continuous Fever ... Brucellosis Faget's Sign ... #Patterns #Differential
Causes of Relative Bradycardia - Note the propensity for intracellular organisms.
Infectious: 
Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... , Dengue fever, ... , Drug fever ... bradycardia #Causes #differential