32 results
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
• Malaria • Leptospirosis ... CLINICAL UTILITY ... help hone your differential ... Dissociation #diagnosis #differential ... #causes
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Regions - Frequent Differential ... melioidosis, typhoid, pulmonary ... eosinophilia - Tropical pulmonary ... infection • Abdominal ... Returning #Traveler #differential
Biphasic Illness of Leptospirosis
Some patients do not progress to severe disease. Others, rapidly develop severe disease
Biphasic Illness of Leptospirosis ... -14 days): • Fever ... rash • Others: nausea ... , vomiting, abdominal ... dysfunction) • Pulmonary
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Leptospirosis Pathogen ... non-productive cough, nausea ... failure • Severe pulmonary ... Epidemiologic exposure + clinical ... #Leptospira #microbiology
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
Differential Diagnosis ... Noninfectious Causes ... of Fever CRITICAL ... infarction - Pulmonary ... #Differential #
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... Hyperkalemia Pulmonary ... Babesiosis • Leptospirosis ... #Bradycardia #differential ... #diagnosis #causes
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Acute and Chronic Causes ... of Dyspnea - Differential ... Diagnosis Pulmonary ... poisoning, DKA, Fever ... #Differential #
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Bilateral B-Lines in case ... healthy pt with fever ... Differential Bilat ... /lung sliding: Pulmonary ... #clinical #ultrasound
Rare Causes of Abdominal Pain
 • Hereditary Angioneurotic Edema - Recurrent visceral that may by swelling
Rare Causes of Abdominal ... Mediterranean Fever ... incisional hernias: clinical ... radicular pain #Rare #Causes ... #differential #
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Infections in HIV - Differential ... lymphadenopathy, • Abdominal ... factor • May cause ... Infections #HIV #AIDS #pulmonary ... #differential #