190 results
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
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Leptospirosis Pathogen ... failure • Severe pulmonary ... Epidemiologic exposure + clinical ... #Leptospira #microbiology ... #diagnosis #treatment
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
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... resolution falling to normal ... • Leptospirosis ... • Malaria • Leptospirosis ... #Differential #Diagnosis
Pulmonary Renal Syndromes and Mimics - Differential Diagnosis Framework
Diffuse alveolar hemorrhage + rapidly progressive glomerulonephritis
90%:
 -
Pulmonary Renal ... - Differential Diagnosis ... Vasculitis - Normal ... other hemorrhagic fevers ... , Leptospirosis,
Biphasic Illness of Leptospirosis
Some patients do not progress to severe disease. Others, rapidly develop severe disease
Biphasic Illness of Leptospirosis ... -14 days): • Fever ... dysfunction) • Pulmonary ... Questions @WuidQ #Leptospirosis ... Biphasic #Phases #Diagnosis
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
- Differential Diagnosis ... failure • AV nodal ... Hyperkalemia Pulmonary ... Babesiosis • Leptospirosis ... #differential #diagnosis
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
Normal horizontal repetitive artifacts (A Lines) 

 - Dustin Morrow MD @SonoSerious

#ALines #Artifact #Pulmonary #Lung #Ultrasound
Normal horizontal ... ALines #Artifact #Pulmonary ... Lung #Ultrasound #POCUS ... #Clinical #Normal