141 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
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
for a CENTRAL cause ... Video by Dr. ... PhysicalExam #Clinical #Video ... #Positive #Neurology
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
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
Warm Antibody Autoimmune Hemolytic Anemia 
1) DIAGNOSE AIHA
 • Anemia: macrocytic > normocytic, ↑ reticulocytes
 •
autoantibodies: positive ... → schizocytes, Positive ... 2) LOOK FOR a cause ... diagnosis #management #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