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diagnosis management infectiousdiseases rheumatology cardiology clinical msk algorithm lung syndrome bradycardia joint physicalexam travel ultrasound acidbase acute arthritis bilateral classification
Faget Sign - Pulse-Temperature Dissociation Causes of Relative Bradycardia • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Dissociation Causes ... Bradycardia • Infectious ... Babesiosis, Malaria, Leptospirosis ... • Non-Infectious ... #bradycardia #differential
Causes of Relative Bradycardia - Note the propensity for intracellular organisms. Infectious: Legionella, Psittacosis, Q fever, Typhoid
Causes of Relative ... Infectious: Legionella ... Babesiosis, Malaria, Leptospirosis ... , Non-infectious ... #differential #
Faget's Sign & Liebermeister's Rule Pulse-Temperature Dissociation EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM INFECTIOUS
INCREASES 8-10 BPM INFECTIOUS ... • Malaria • Leptospirosis ... the most likely infection ... help hone your differential ... Dissociation #diagnosis #differential
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses Medical History: • Skin exposure to
Regions - Frequent Differential ... melioidosis, typhoid, pulmonary ... eosinophilia - Tropical pulmonary ... • Abdominal pain ... Returning #Traveler #differential
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Causes: • Still's ... • Leptospirosis ... • Malaria • Leptospirosis ... #Patterns #Differential
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 ... Drugs • ICP / Infections ... Hyperkalemia Pulmonary ... Babesiosis • Leptospirosis ... #diagnosis #causes
Ear Pain (Otalgia) - Differential Diagnosis Framework Primary Otalgia - Pain that originates from the ear
Ear Pain (Otalgia ... ) - Differential ... , weight loss, fever ... the tragus to differentiate ... Otolaryngology #differential
Tachypnea - Differential Diagnosis Framework Definitions • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults •
Tachypnea - Differential ... dysfunction; toxic ingestions ... • Temperature/FEVER ... Anxiety, fright, pain ... Tachypnea #Hyperpnea #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 pain ... dysfunction) • Pulmonary
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