52 results
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Regions - Frequent Differential ... infection, infective endocarditis ... , amebic liver abscess ... mononucleosis, infective endocarditis ... Returning #Traveler #differential
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... infection • Abscess ... • Leptospirosis ... • Malaria • Leptospirosis ... #Patterns #Differential
Mitral valve endocarditis complicated by an abscess - Echocardiogram

Ivan Stankovic, MD, PhD @ https://twitter.com/Ivan_Echocardio

#MitralValve #Mitral #Valve
Mitral valve endocarditis ... complicated by an abscess ... Mitral #Valve #endocarditis ... #abscess #Echocardiogram ... #POCUS #Clinical
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... most common) Clinical ... to rnonths • Fever ... meropenem) #Lung #Abscess ... Diagnosis #Pulmonary #Clinical
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
• Typhoid Fever ... • Malaria • Leptospirosis ... CLINICAL UTILITY ... help hone your differential ... Dissociation #diagnosis #differential
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... • Aortic Valve Endocarditis ... + Abscess • Sick ... Babesiosis • Leptospirosis ... #Bradycardia #differential
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
Spinal Epidural Abscess ... , HD catheter, endocarditis ... Alcoholism, DM, HIV Microbiology ... most common (63%) Clinical ... but rare triad: Fever
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm
Neoplasm:
• NHL
• Hodgkin's lymphoma
• Leukemia
• Solid
Causes of Fever ... Origin (FUO) - Differential ... • Infectious endocarditis ... Osteomyelitis • Occult abscess ... #FUO #Chronic #Differential
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis
 • Infection: Extrapulmonary tuberculosis, Abscess, Endocarditis,
Causes of Fever ... Origin (FUO) - Differential ... tuberculosis, Abscess ... , Endocarditis, ... #Origin #FUO #Differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Hypercoagulable (APLAS) Microbiology ... night sweats, fever ... Marantic (NTBE) Differential ... Complications: Abscess ... Persistent bacteremia/fevers