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Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - ... Continuous Fever ... (Step ladder: fever ... days • Tick-borne ... • Louse-borne
Mosquito Borne Diseases
 - Dengue
 - Yellow Fever
 - Zika
 - Chikungunya
 - Malaria

- VA Joint
Mosquito Borne Diseases ... Dengue - Yellow Fever ... BostonChiefs #Mosquito #Borne
Tick Borne Illnesses
 • Lyme (Borrelia)
 • Babesiosis (Babesia)
 • Human Monocytic Ehrlichiosis (Ehrlichia)
 • Human
Tick Borne Illnesses ... Mountain Spotted Fever ... BostonChiefs #Tick #Borne
Algorithmic Guide to Tick-Borne Illnesses in the United States - By Major Symptoms (Fever, Rash, Lymphadenopathy)
Guide to Tick-Borne ... Major Symptoms (Fever ... Region #Ticks #Fever
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... , Dengue fever, ... Mountain spotted fever ... , Drug fever
EKG Changes in Hypothermia #Diagnosis #Cardiology #MedStudent #EKG #Hypothermia #Osborne #JWaves #ECGEducator
#Hypothermia #Osborne
Osborn wave (J wave) in Hypothermia - Positive deflection at the J point

Height of the J
Osborn wave (J wave ... Cardiology #ECG #EKG #Osborn
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
Osborn (J Wave) ... prognostic value #Osborn
Causes of Relative Bradycardia - Note the propensity for intracellular organisms.
Infectious: 
Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... , Dengue fever, ... Mountain spotted fever ... , Drug fever
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 ... • Drug Fever ... Typhoid Fever (S ... Dengue Fever NOTE