21 results
Scombroid poisoning may cause a metallic, bitter, or even peppery taste.
Scombroid poisoning results from the breakdown
Diagnosis #Fish #Spoiled
Tick Borne Illnesses
 • Lyme (Borrelia)
 • Babesiosis (Babesia)
 • Human Monocytic Ehrlichiosis (Ehrlichia)
 • Human
Rocky Mountain Spotted
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Rocky Mountain spotted
Causes of Relative Bradycardia - Note the propensity for intracellular organisms.
Infectious: 
Legionella, Psittacosis, Q fever, Typhoid
Rocky Mountain spotted
Doge Cap Sign on Abdominal X-Ray aka Morrison Pouch Sign
Triangular shaped lucency below the 11th rib
resembles the headgear sported
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
Rocky Mountain Spotted
Purpura - Differential Diagnosis Framework

Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
Rocky mountain spotted
Rickettsiae: Spotted Fever group

R. rickettsii 
R. parkeri 
R. philipii / Rickettsia 364D
R. africae 
R. australis 
R.
Rickettsiae: Spotted
Causes of Myocarditis 
1. Infectious Myocarditis
 • Bacterial - Staphylococcus, Streptococcus, Pneumococcus, Meningococcus, Gonococcus, Salmonella, Corynebacterium
Rocky Mountain Spotted
Scurvy (Vitamin C Deficiency) - Diagnosis and Management

Vitamin C is required for hydroxylation of proline residues
Rocky Mountain spotted