165 results
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Leptospirosis Pathogen ... : conjunctival suffusion ... failure • Severe pulmonary ... Epidemiologic exposure + clinical ... #Leptospira #microbiology
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Frequent Differential Diagnoses ... , leptospirosis, ... melioidosis, typhoid, pulmonary ... eosinophilia - Tropical pulmonary ... #differential #diagnosis
Biphasic Illness of Leptospirosis
Some patients do not progress to severe disease. Others, rapidly develop severe disease
Biphasic Illness of Leptospirosis ... -14 days): • Fever ... • Conjunctival suffusion ... dysfunction) • Pulmonary ... Biphasic #Phases #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
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
Shark Tail Appearance of Consolidated Lung on Pleural Effusion on POCUS

Dr. David Feller-Kopman @dfellerk

#Pleural #Effusion #pulmonary
Lung on Pleural Effusion ... on POCUS Dr. ... dfellerk #Pleural #Effusion ... #pulmonary #Lung ... #POCUS #clinical
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Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
- Differential Diagnosis ... Hyperkalemia Pulmonary ... Sotalol • Propofol infusion ... Babesiosis • Leptospirosis ... #differential #diagnosis
Right pleural effusion with "spine sign" seen beautifully by using large footprint curvilinear transducer on lung
Right pleural effusion ... Care Ultrasound (POCUS ... #Spine #Sign #Clinical ... #POCUS #Lung #Pleural ... #pulmonary
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Non-Resolving Pneumonias: Etiologies
Unusual Infections:
 - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia)
 - Endemic Fungi (e.g.: Histoplasmosis,
psittaci/avian, leptospirosis ... yersinia/rats, Q fever ... Others: - Pulmonary ... abnormalities (Pulmonary ... NonResolving #Pneumonia #diagnosis
Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm indicative of
indicative of pleural effusion ... absence of pleural effusion ... #SpineSign #POCUS ... #Clinical #Pleural ... #Effusion #Pulmonary