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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
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 ... There are specific cases ... #differential #causes
Non-Resolving Pneumonias: Etiologies Unusual Infections: - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia) - Endemic Fungi (e.g.: Histoplasmosis,
psittaci/avian, leptospirosis ... ) - Returning travelers
Leptospirosis Pathogen: Leptospira (interrogans, kirschneri, noguchii) Risk Factors: • Occupational exposure - Farmers, ranchers, trappers, veterinarians • Recreational
Leptospirosis Pathogen ... non-productive cough, nausea ... TheIDtrivia #Leptospirosis
Causes of Relative Bradycardia - Note the propensity for intracellular organisms. Infectious: Legionella, Psittacosis, Q fever, Typhoid
Causes of Relative ... Babesiosis, Malaria, Leptospirosis ... #bradycardia #Causes
Causes of Facial Weakness - Differential Diagnosis Algorithm Forehead Sparing = Central cause - Most commonly
Causes of Facial ... Sparing = Central cause ... Diagnosis #Algorithm #Causes ... #neurology #sparing
Causes of Proximal Muscle Weakness That May Mimic Inflammatory Myopathy • Central or peripheral neurologic disease
Causes of Proximal ... or peripheral neurologic ... #differential #causes ... #neurology
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