57 results
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Frequent Differential Diagnoses ... infection, infective endocarditis ... , leptospirosis, ... mononucleosis, infective endocarditis ... #differential #diagnosis
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Acute bacterial endocarditis ... • Leptospirosis ... • Malaria • Leptospirosis ... #Differential #Diagnosis
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 ... • Yellow Fever ... CLINICAL UTILITY ... #Dissociation #diagnosis
ID Approach to Fever and Rash - Diagnostic Algorithm
Central Maculopapular (most common):
Measles, Parvovirus 819 / EBV,
ID Approach to Fever ... and Rash - Diagnostic ... WNV, Mycoplasma, Leptospirosis ... Mycoplasma), Infective endocarditis ... Rash #Febrile #Diagnosis
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Leptospirosis Pathogen ... disease ARDS Diagnosis ... Epidemiologic exposure + clinical ... #Leptospira #microbiology ... #diagnosis #treatment
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
left hemiplegia, fevers ... could have been diagnosed ... with persistent fever ... - Clinical examination ... #PhysicalExam #clinical
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
- Differential Diagnosis ... • Aortic Valve Endocarditis ... • Yellow fever ... Babesiosis • Leptospirosis ... #differential #diagnosis
Q Fever (Coxiella Burnetii) - Acute vs Chronic Diagnosis and Management

Acute:
 - Self-limited flu-like illness
 -
Q Fever (Coxiella ... Acute vs Chronic Diagnosis ... Hepatitis - Acute endocarditis ... #infection #microbiology ... #diagnosis #management
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... most common) Clinical ... to rnonths • Fever ... Lung #Abscess #Diagnosis ... #Pulmonary #Clinical
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
, HD catheter, endocarditis ... Alcoholism, DM, HIV Microbiology ... most common (63%) Clinical ... but rare triad: Fever ... Epidural #Abscess #diagnosis