107 results
“Step by Step” – the new kid on the block – aims to risk stratify this
investigations and treatments ... an infant with fever ... Febrile #Infant #StepByStep ... Stratification #Fever
Dengue Fever - Diagnosis and Management Summary 
Dengue Fever → Dengue Hemorrhagic Fever →Dengue Hemorrhagic Shock
Dengue Fever - Diagnosis ... Summary Dengue Fever ... Dengue Hemorrhagic Fever ... Rash, Vomiting, Positive ... 7 days (Ig)M Treatment
Pneumocystis jirovecii Pneumonia 
Clinical 
 • Caused by Pneumocystis jirovecii (formerly carinil) 
 • Immunocompromised host
Clinical • Caused ... • Seen in HIV positive ... 2—3 weeks • Fever ... often elevated Treatment
Fever vs Hyperthermia
Fever:
 • Regulated in the hypothalamic thermoregulatory center
 • "Set point" raised by prostaglandin
Fever vs Hyperthermia ... Fever: • Regulated ... production • Treatment ... rapidly fatal • Causes ... BrighamChiefs #Fever
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... • Exercise • Fever ... Glomerular Proteinuria (Positive ... sediment - WBC/RBC casts ... Diagnosis #Algorithm #Causes
Treatment of breast cancer: a simplified view
surgical therapy - 5-7 weeks
 - lumpectomy +
 - radiation
Treatment of breast ... adjuvant (in select cases ... year - if HER2 positive ... years - if ER/PR positive ... breast #cancer #treatment
Warm Antibody Autoimmune Hemolytic Anemia 
1) DIAGNOSE AIHA
 • Anemia: macrocytic > normocytic, ↑ reticulocytes
 •
autoantibodies: positive ... → schizocytes, Positive ... 2) LOOK FOR a cause ... diagnosis #management #treatment
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
caused by Borrelia ... TBRF is caused by ... the body louse, causes ... Treatment is tetracycline ... initiation of treatment
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
without other cause ... explain symptoms • Fever ... : 33% • Treatment ... heart failure, positive ... : No • Treatment
Multi-System Inflammatory Syndrome in Children (MIS-C) vs. Kawasaki Disease
CDC Case Definition for MIS-C;
 • < 21
Kawasaki Disease CDC Case ... years old with fever ... for disease • Positive