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

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Abscess, bacteremia ... • Hepatic abscess ... • Leptospirosis ... • Malaria • Leptospirosis ... Liver or lung abscess
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm
Neoplasm:
• NHL
• Hodgkin's lymphoma
• Leukemia
• Solid
• Trauma Non-infectious ... Organ Specific Infection ... • Infectious ... endocarditis • ... Osteomyelitis • Occult abscess
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
INCREASES 8-10 BPM INFECTIOUS ... • Typhoid Fever ... • Malaria • Leptospirosis ... CLINICAL UTILITY ... the most likely infection
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
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Drugs • ICP / Infections ... • Aortic Valve Endocarditis ... + Abscess • Sick ... Cimetidine Infections ... Babesiosis • Leptospirosis
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis
 • Infection: Extrapulmonary tuberculosis, Abscess, Endocarditis,
Causes of Fever ... Diagnosis • Infection ... tuberculosis, Abscess ... , Endocarditis, ... carcinoma • Non-infectious
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
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Infectious: • Pre-existing ... devices (CIED) Non-Infectious ... Hypercoagulable (APLAS) Microbiology ... night sweats, fever ... Persistent bacteremia/fevers
Endocarditis - Duke Criteria - Major and Minor

MAJOR CRITERIA: 
 - Persistently +ve blood culture for
Endocarditis - Duke ... vegetation, dehiscence, abscess ... Coxiella burnetii infection ... drug use - Fever ... criteria #Endocarditis