2012 results
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... Typhus, Babesiosis, Malaria ... , Dengue fever, ... , Drug fever
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
bacteremia • Malaria ... endocarditis, malaria ... Malaria • Lymphoma ... (Falciparum malaria ... hemolysis) • Malaria
Causes of Relative Bradycardia - Note the propensity for intracellular organisms.
Infectious: 
Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... Typhus, Babesiosis, Malaria ... , Dengue fever, ... , Drug fever
Fever in the Returning Traveler - History
Exposure History:
 • Street foods / Local water: entenc fever,
Arthropod bites: malaria ... < 7 days: malaria ... 7-21 days: malaria ... > 21 days: malaria ... / Continuous: malaria
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
Psittacosis • Q Fever ... • Typhoid Fever ... Babesiosis • Malaria ... • Drug Fever ... Typhoid Fever (S
Differential Diagnosis of Fever and Splenomegaly
 - Typhoid
 - Infective endocarditis
 - Miliary tuberculosis
 - Hodgkin
Differential Diagnosis of Fever ... endocarditis - Miliary ... Brucellosis #Fever
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Fever in Returning ... Symptoms: • Fever ... or symptoms - Malaria ... pulmonary embolism, malaria ... , brucellosis, malaria
Mosquito Borne Diseases
 - Dengue
 - Yellow Fever
 - Zika
 - Chikungunya
 - Malaria

- VA Joint
Dengue - Yellow Fever ... Chikungunya - Malaria
Fever and Rash - Differential Diagnosis Framework
 • Viral: Measles, Infectious Mono (EBV, CMV), Acute HIV,
Fever and Rash - ... syndrome, TB cutis miliaris ... Medicine @SCVMCMed #Fever
Miliary Tuberculosis 
Hematogenous dissemination of Mycobacterium tuberculosis 
Clinical: 
 • Failure to thrive 
 • Fever
Miliary Tuberculosis ... to thrive • Fever ... Adrenal glands #Miliary