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diagnosis differential neurology physicalexam clinical infectiousdiseases management adies algorithm barre bilateral bradycardia fever msk painful pulse pupil sign temperature travel
Travel History - Clues to Infectious Disease Diagnosis in a Traveler • Where did you
Clues to Infectious ... Geographic disease association ... → Leptospirosis ... Herpesvirus B infection ... InfectiousDiseases #Infections
Faget Sign - Pulse-Temperature Dissociation Causes of Relative Bradycardia • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Pulse-Temperature Dissociation ... Bradycardia • Infectious ... Babesiosis, Malaria, Leptospirosis ... fever • Non-Infectious ... #Temperature #Dissociation
Faget's Sign & Liebermeister's Rule Pulse-Temperature Dissociation EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM INFECTIOUS
Pulse-Temperature Dissociation ... INCREASES 8-10 BPM INFECTIOUS ... • Malaria • Leptospirosis ... the most likely infection ... #differential #causes
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... Epidemiology: • 1-2 cases ... response preceding infection ... Albuminocytologic dissociation ... #Barre #Syndrome
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
• Light-near dissociaton ... Holmes-Adie Syndrome ... no light-near dissociation ... • Other causes ... PhysicalExam #neurology #ophthalmology
Adie's Pupil on Physical Exam Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
., light-near dissociation ... It is caused by ... viral or bacterial infection ... clinical #video #ophthalmology ... #neurology #syndrome
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 Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Causes: • Still's ... • Hyper-IgD syndrome ... Dengue fever • Leptospirosis ... Temperature Pulse Dissociation ... • Malaria • Leptospirosis
Fever After International Travel Infectious Disease: • Endemic in either the destination or home region Viral Syndromes: Arboviral infections, a
region Viral Syndromes ... , a common cause ... ; dengue shock syndrome ... capillary leak syndrome ... : • Leptospirosis
Etiologies of Peripheral Neuropathy • Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism • Medication-induced: ART, Antibiotics,
Chemotherapy • Infectious ... Inflammatory/AI: CIDP, Guillain-Barre ... Paraprotein-associated (POEMS syndrome ... differential #diagnosis #causes
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Drugs • ICP / Infections ... Cimetidine Infections ... Babesiosis • Leptospirosis ... Spondylarthropathies Other causes ... differential #diagnosis #causes
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