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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 ... diagnosis #medicine ... 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 ... #Patterns #Differential ... #Diagnosis #intermittent
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
Differential Diagnosis ... Noninfectious Causes of Fever ... CRITICAL DIAGNOSES ... - Drug fever ... #Fever #Noninfectious
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
, Typhoid fever, ... , Dengue fever, ... , Drug fever ... #bradycardia #differential ... #diagnosis #causes
Causes of Relative Bradycardia - Note the propensity for intracellular organisms.
Infectious: 
Legionella, Psittacosis, Q fever, Typhoid
, Typhoid fever, ... , Dengue fever, ... , Drug fever ... bradycardia #Causes #differential ... #diagnosis #infectiousdiseases
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 ... help hone your differential ... #Dissociation #diagnosis ... #differential #
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Fever in Returning ... Regions - Frequent Differential ... Diagnoses Medical ... Returning #Traveler #differential ... #diagnosis #tropical
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
Fever of Unknown ... Refer to your ‘Fever ... Test for the respective ... node biopsy • Clinical ... udaygulati #FUO #Fever
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