39 results
Ever had a #traveler come in to your clinic with #fever and you were not sure
Ever had a #traveler ... your clinic with #fever ... then use your history-taking ... #differentials # ... #traveler
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Regions - Frequent Differential ... Diagnoses Medical History ... #Returning #Traveler ... #differential # ... diagnosis #tropical #travel
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Dissociation Causes ... • Infectious Causes ... Babesiosis, Malaria, Leptospirosis ... Non-Infectious Causes ... #bradycardia #differential
Travel History - Clues to Infectious Disease Diagnosis in a Traveler 
 • Where did you
Travel History - ... Clues to Infectious ... → Leptospirosis ... Rabies, cat scratch fever ... InfectiousDiseases #Infections #differential
Causes of Relative Bradycardia - Note the propensity for intracellular organisms.
Infectious: 
Legionella, Psittacosis, Q fever, Typhoid
Causes of Relative ... , Typhoid fever, ... Babesiosis, Malaria, Leptospirosis ... #bradycardia #Causes ... #differential #
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
• Malaria • Leptospirosis ... OTHER CAUSES ... help hone your differential ... Dissociation #diagnosis #differential ... #causes
Fever in the Returning Traveler - History
Exposure History:
 • Street foods / Local water: entenc fever,
Traveler - History ... Exposure History ... schistosomiasis, leptospirosis ... #Returning #Traveler ... #differential
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Leptospirosis Pathogen ... canoeing, kayaking, trail ... non-productive cough, nausea ... TheIDtrivia #Leptospirosis ... #Leptospira #microbiology
Hemolytic Anemia - Differential Diagnosis Algorithm
Hereditary:
 • Peripheral blood smear + DAT + further History
 •
Hemolytic Anemia - Differential ... DAT + further History ... HTN) • Recent travel ... /Fevers, DAT (-) ... Diagnosis #Algorithm #causes
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Non-Infectious Causes ... • Leptospirosis ... • Malaria • Leptospirosis ... #Patterns #Differential