1138 results
Travel History - Clues to Infectious Disease Diagnosis in a Traveler 
 • Where did you
Travel History - ... Clues to Infectious ... Diagnosis in a Traveler ... Where did you travel ... → Leptospirosis
Fever in the Returning Traveler - History
Exposure History:
 • Street foods / Local water: entenc fever,
the Returning Traveler ... entenc fever, travellers ... schistosomiasis, leptospirosis ... days: malaria, travellers ... Fever #Returning #Traveler
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Fever in Returning Travelers ... Schistosomiasis, leptospirosis ... the workplace - Leptospirosis ... Fever #Returning #Traveler ... diagnosis #tropical #travel
Ever had a #traveler come in to your clinic with #fever and you were not sure
Ever had a #traveler ... come in to your clinic ... period and place of travel ... infectiousdisease #fever #traveler
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
• Returning traveler ... in a Returning Traveler ... algorithm • Travel ... geography • Travel ... node biopsy • Clinical
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
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 ... • Fever OTHER CAUSES ... • Drug Fever CLINICAL ... #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 ... TheIDtrivia #Leptospirosis
Non-Resolving Pneumonias: Etiologies
Unusual Infections:
 - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia)
 - Endemic Fungi (e.g.: Histoplasmosis,
psittaci/avian, leptospirosis ... ) - Returning travelers
Causes of Relative Bradycardia - Note the propensity for intracellular organisms.
Infectious: 
Legionella, Psittacosis, Q fever, Typhoid
Causes of Relative ... Babesiosis, Malaria, Leptospirosis ... #bradycardia #Causes