29 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
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 #management
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
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
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
• Most common cause ... Lung Abscess - Clinical ... : • 80% have fever ... Lung #Abscess #pulmonary ... causes #management
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Diagnosis and Management ... renal failure Clinical ... symptoms are not caused ... Pulmonary: dyspnea ... acute sarcoidosis Pulmonary
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Actively maintained fever ... CAUSES OF HYPERTHERMIA ... #Hyperthermia #Differential ... Checklist #Diagnosis #Management
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... triad: Fever, Arthralgia ... fraction < 20% Differential ... hepatitis • Pulmonary ... Disease #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Hypercoagulable (APLAS) Microbiology ... night sweats, fever ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... Endocarditis #diagnosis #management