14 results
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
pyelonephritis Most common cause ... specificity 2) Pneumonia ... #Peds #EM #Classification ... #Fever #SBI #SeriousBacterialIllness ... #Ddxof
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
Unknown • 6-7 cases ... cough, dyspnea, fever ... - Diagnosis: ... , Pulmonary lymphoma ... #ILD #diagnosis
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
in case of Pneumonia ... healthy pt with fever ... /lung sliding: Pulmonary ... NOT definitively diagnose ... RJonesSonoEM #BLines
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... gram-negative pneumonia ... Non-Infectious Causes ... • Hyper-IgD syndrome ... #Differential #Diagnosis
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... based on three lines ... e.g., CXR, CT, ultrasound ... Inflammation (e.g., fever ... #Pulmonolary
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Acute and Chronic Causes ... Pulmonary/Chest ... Asthma attack, ILD ... Pleural effusion, Pneumonia ... poisoning, DKA, Fever
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
confusion and fever ... is relapsing fever ... Syndrome: 3d of fever ... Fever recurs over ... increases during febrile
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Red Flags: • Fever ... medication Febrile ... deficiency Work ... • Abdominal ultrasound
Sweet Syndrome

Acute febrile neutrophilic dermatosis (Sweets Syndrome) is a skin condition characterized by fever and inflamed
Syndrome Acute febrile ... characterized by fever ... Disorder: - Fever ... Symptoms: - Fever ... arthralgia) - Fever
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
Fever 4. ... pneumonitis Diagnosis ... Exclude other causes ... Exclusion of other ILDs ... #diagnosis #management