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differential physicalexam bradycardia infectiousdiseases neurology pulse pupil sign temperature travel autoimmune blurry bradi cardiology clinical effusions faget fagets history hpi
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
• Light-near dissociaton ... Holmes-Adie Syndrome ... females Differential Diagnosis ... • Other causes ... PhysicalExam #neurology #ophthalmology
Adie's Pupil on Physical Exam Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
i.e., light-near dissociation ... It is caused by ... viral or bacterial infection ... clinical #video #ophthalmology ... #neurology #syndrome
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 Faget Sign - Pulse-Temperature Dissociation Causes of Relative Bradycardia • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Pulse-Temperature Dissociation ... Bradycardia • Infectious ... Babesiosis, Malaria, Leptospirosis ... • Non-Infectious ... #differential #diagnosis
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 ... OTHER CAUSES ... the most likely infection ... #diagnosis #differential
Travel History - Clues to Infectious Disease Diagnosis in a Traveler • Where did you
Clues to Infectious ... Disease Diagnosis ... Geographic disease association ... → Leptospirosis ... Rabies, cat scratch fever
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Causes: • Still's ... • Leptospirosis ... Temperature Pulse Dissociation ... #Differential #Diagnosis
Fever After International Travel Infectious Disease: • Endemic in either the destination or home region Viral Syndromes: Arboviral infections, a
Travel Infectious ... region Viral Syndromes ... ; dengue shock syndrome ... capillary leak syndrome ... : • Leptospirosis
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
- Differential Diagnosis ... Drugs • ICP / Infections ... Cimetidine Infections ... Babesiosis • Leptospirosis ... #causes #cardiology
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
Causes of Knee Effusions ... - Differential Diagnosis ... Fever/Chills/Joint ... Acute rheumatic fever ... fracture - Patellar dislocation
Blurry Vision - Differential Diagnosis Framework Anatomical Approach to Eye Disease: 1. Lids/Lashes 2. Extraocular Muscles/Motility 3. Conjunctiva/Sclera 4. Cornea 5. Anterior
- Differential Diagnosis ... edema • Lens dislocation ... glaucoma • GCA • Adie ... #ophthalmology ... #causes
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