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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 ... differential #diagnosis #causes
Rodent-associated Bacterial infections: Leptospirosis, Rat-bite fever, Tularemia, Plague #rodent #infections #leptospirosis #tularemia #ratbitefever #plague #rats #infectiousdisease #fever #differential #diagnosis #management #treatment #table
Bacterial infections: Leptospirosis ... , Rat-bite fever ... #infections #leptospirosis ... infectiousdisease #fever ... #management #treatment
Causes of Relative Bradycardia - Note the propensity for intracellular organisms. Infectious: Legionella, Psittacosis, Q fever, Typhoid
Causes of Relative ... , Typhoid fever, ... Babesiosis, Malaria, Leptospirosis ... , Yellow fever, ... #bradycardia #Causes
Faget's Sign & Liebermeister's Rule Pulse-Temperature Dissociation EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM INFECTIOUS
BPM INFECTIOUS CAUSES ... • Malaria • Leptospirosis ... OTHER CAUSES ... CLINICAL UTILITY ... #differential #causes
Leptospirosis Pathogen: Leptospira (interrogans, kirschneri, noguchii) Risk Factors: • Occupational exposure - Farmers, ranchers, trappers, veterinarians • Recreational
Leptospirosis Pathogen ... non-productive cough, nausea ... Epidemiologic exposure + clinical ... #Leptospira #microbiology ... #diagnosis #treatment
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - ... Continuous Fever ... Non-Infectious Causes ... • Leptospirosis ... • Malaria • Leptospirosis
Lung Abscess Microbiology: • Polymicrobial • Anaerobes (most common) Clinical: • Indolent symptoms that evolve
Lung Abscess Microbiology ... most common) Clinical ... to rnonths • Fever ... , hemoptysis Treatment ... Diagnosis #Pulmonary #Clinical
Dengue Fever - Diagnosis and Management Summary Dengue Fever → Dengue Hemorrhagic Fever →Dengue Hemorrhagic Shock
Dengue Fever - Diagnosis ... Summary Dengue Fever ... Dengue Hemorrhagic Fever ... 7 days (Ig)M Treatment ... Diagnosis #Management #microbiology
Hantavirus Pathogen: Hantavirus - Rodents are the primary reservoir Transmission: • Shed in the urine, feces, saliva of
barns and lake houses ... • Prodrome: fever ... • Autopsy PCR Treatment ... diagnosis #management #treatment ... #microbiology #
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 ... Questions @WuidQ #Leptospirosis
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