17 results
Biphasic Illness of Leptospirosis
Some patients do not progress to severe disease. Others, rapidly develop severe disease
brief interval symptom ... -14 days): • Fever ... • Headache ... suffusion (redness w/o exudate ... #Signs
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
history of cancer, HIV ... • Meningeal signs ... ) • Systemic symptoms ... and signs (e.g. ... , fever, myalgia
Cytomegalovirus (CMV) in HIV-AIDS Patients
Cytomegalovirus (CMV): double-stranded DNA virus, herpesvirus family.
CMV infection: virus isolation or detection
Cytomegalovirus (CMV) in HIV-AIDS ... or signs. ... ) • Liver: Hepatitis ... #differential # ... signs #symptoms
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
Heat Stroke - Differential ... → Syncope • Signs ... /Symptoms: - Lightheadedness ... sensations - Headache ... #differential #
13 Dangerous Causes of Headache:
 - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
Dangerous Causes of Headache ... coagulopathy, decreased level ... contacts with similar illness ... thrombophilia, neurologic signs ... Dangerous #Deadly #Differential
Management of Serotonin Syndrome
Identify and stop all serotoninergic medications
 • Avoid inadvertent Rx of serotoninergic meds
serotoninergic meds ... normalize vital signs ... IV fluids for volume ... elevated HR/BP Severe illness ... then 2 mg q2h if symptoms
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Herpesviruses (MCC: HSV ... Coltivirus Symptoms ... influenzae Symptoms ... Acute meningeal signs ... second phase of the illness
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
healthy pt with fever ... travel hx, home meds ... Differential Bilat ... Pulmonary edema, ARDS ... partially seen shred sign
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
- Differential ... • CT: Halo sign ... Constitutional symptoms ... #AIDS #pulmonary ... #differential #
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Monitors, ECG, Pads ... worsening brady, Signs ... 10% above this level ... bradycardia #diagnosis #differential ... #management #cardiology