28 results
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 ... Dissociation EVERY 1 F RISE ... INCREASES 8-10 BPM INFECTIOUS ... CLINICAL UTILITY ... #Fagets #Sign #Pulse
Pediatric Inflammatory Multisystem Syndrome Temporally associated with SARS-CoV-2 infection (PIMS-TS)
Clinical features
all: fever > 101.3 F
most: oxygen
with SARS-CoV-2 infection ... (PIMS-TS) Clinical ... features all: ... fever > 101.3 F ... coronavirus #diagnosis #Signs
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... : Temperature rises ... Brucellosis Faget's Sign ... For every 1°F rise ... #Patterns #Differential
Lelli's Test (Lever Sign) for ACL Injury

A fist is placed under the proximal 3rd of the
Sign) for ACL Injury ... right side (heel rises ... (heel does not rise ... #Sign #ACL #Injury ... cruciate #ligament #clinical
The infant with tachypnea or wheeze - Clinical Conditions to Consider
 - Bronchiolitis 
 - Pneumonia
tachypnea or wheeze - Clinical ... , risk increased ... respiratory infection ... Diagnosis #Peds #Pediatrics ... Tachypnea #Wheeze #Differential
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk ... any modifiable risk ... or family - Ever ... Skin exam for infection ... Change in clinical
Pediatrics Sepsis Screening
SIGNS OF INFECTION?
 • Fever (>38C)
 • Hypothermia (<36C)
 • Cough/chest pain/respiratory distress
 •
Pediatrics Sepsis ... OF INFECTION? ... • Fever (>38C) ... RISK MEDICAL CONDITIONS ... • Other high-risk
Maculopapular - Diagnostic Algorithm
Pathophysiology:
- Catch-all term with a wide range of potential pathophysiologic mechanisms and causative
Pathophysiology: - Catch-all ... High-risk Features ... Ill-appearing, vital sign ... instability - New-onset fever ... Targetoid #Algorithm #Differential
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
Vulnificus skin infection ... All oysters at Chesapeake ... Rapid onset of fever ... necrotic ulcers Risk ... dermatology #legs #clinical
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Treat if other signs ... (fever, abdominal ... small study, low-risk ... ß-blockers due to ↑ risk ... SBP • PPIs = ↑ risk