35 results
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Regions - Frequent Differential ... , leptospirosis, ... melioidosis, typhoid, pulmonary ... eosinophilia - Tropical pulmonary ... Returning #Traveler #differential
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
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Leptospirosis Pathogen ... failure • Severe pulmonary ... Epidemiologic exposure + clinical ... TheIDtrivia #Leptospirosis ... #Leptospira #microbiology
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 ... #differential
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... most common) Clinical ... to rnonths • Fever ... Abscess #Diagnosis #Pulmonary ... #Clinical #CXR
Pulmonary Renal Syndromes and Mimics - Differential Diagnosis Framework
Diffuse alveolar hemorrhage + rapidly progressive glomerulonephritis
90%:
 -
Pulmonary Renal ... Syndromes and Mimics - Differential ... other hemorrhagic fevers ... , Leptospirosis, ... Kumfer @AnnKumfer #Pulmonary
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... Hyperkalemia Pulmonary ... • Yellow fever ... Babesiosis • Leptospirosis ... #Bradycardia #differential
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
Differential Diagnosis ... CRITICAL DIAGNOSES ... infarction - Pulmonary ... Transfusion reaction - Pulmonary ... Noninfectious #Causes #Differential
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... Pulmonary embolism ... RJonesSonoEM #Pulmonary ... Echocardiogram #A4c #clinical
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
healthy pt with fever ... POCUS lung exam ... Differential Bilat ... /lung sliding: Pulmonary ... #clinical #ultrasound