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Xanthomas in Familial Hypercholesterolemia #Clinical #PrimaryCare #Derm #Xanthomas #FamilialHypercholesterolemia #Hypercholesterolemia #NEJM
Xanthomas in Familial ... PrimaryCare #Derm #Xanthomas
Characteristics of Common Lipid Disorders
Polygenic hypercholesterolemia
Atherogenic dyslipidemia
 • Frequently accompanied by central obesity or diabetes
Familial hypercholesterolemia,
premature CHD, tendon xanthomas ... premature CHD, tendon xanthomas ... of CHD, tendon xanthomas ... hyperlipidemia) • PaImar xanthomas ... tuberoeruptive xanthomas
ID Approach to Fever and Rash - Diagnostic Algorithm
Central Maculopapular (most common):
Measles, Parvovirus 819 / EBV,
ID Approach to Fever ... Leptospirosis, Viral/Drug Exanthemas ... Desquamative: Scarlet fever ... Viral hemorrhagic fevers ... Questions @WuidQ #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
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - ... Continuous Fever ... (Step ladder: fever ... Intermittent Fever ... or no fever •
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
Xanthoma Striatum Palmare- A 49-year-old man was referred to the metabolic clinic for evaluation of severe
Xanthoma Striatum ... hypercholesterolemia and xanthomas ... Palmar xanthomas ... Xanthomas are rarely ... clincal #photo #xanthoma
Ever had a #traveler come in to your clinic with #fever and you were not sure
Ever had a #traveler ... your clinic with #fever ... infectiousdisease #fever
PocketPEM - Pediatric Fever Workup #Diagnosis #Peds #EM #Fever #Pediatric #Fever #Workup #PocketCard #PocketPEM
PocketPEM - Pediatric Fever ... Diagnosis #Peds #EM #Fever ... #Pediatric #Fever