32 results
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Travelers from ... Regions - Frequent Differential ... melioidosis, typhoid, pulmonary ... eosinophilia - Tropical pulmonary ... #differential #
Travel History - Clues to Infectious Disease Diagnosis in a Traveler 
 • Where did you
Clues to Infectious ... → Leptospirosis ... Rabies, cat scratch fever ... Herpesvirus B infection ... #differential #
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Dissociation Causes ... Bradycardia • Infectious ... Babesiosis, Malaria, Leptospirosis ... • Non-Infectious ... #bradycardia #differential
Causes of Relative Bradycardia - Note the propensity for intracellular organisms.
Infectious: 
Legionella, Psittacosis, Q fever, Typhoid
Causes of Relative ... Infectious: Legionella ... Babesiosis, Malaria, Leptospirosis ... , Non-infectious ... #differential #
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 ... the most likely infection ... help hone your differential ... Dissociation #diagnosis #differential
Fever in the Returning Traveler - History
Exposure History:
 • Street foods / Local water: entenc fever,
Traveler - History ... , travellers' diarrhea ... tattoos, piercings, injections ... schistosomiasis, leptospirosis ... History #diagnosis #differential
Non-Resolving Pneumonias: Etiologies
Unusual Infections:
 - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia)
 - Endemic Fungi (e.g.: Histoplasmosis,
Etiologies Unusual Infections ... psittaci/avian, leptospirosis ... yersinia/rats, Q fever ... ) - Returning travelers ... #differential
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Causes: • Still's ... • Leptospirosis ... • Malaria • Leptospirosis ... #Patterns #Differential
Pulmonary Renal Syndromes and Mimics - Differential Diagnosis Framework
Diffuse alveolar hemorrhage + rapidly progressive glomerulonephritis
90%:
 -
Pulmonary Renal ... Syndromes and Mimics - Differential ... other hemorrhagic fevers ... , Leptospirosis, ... Kumfer @AnnKumfer #Pulmonary
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... Drugs • ICP / Infections ... Hyperkalemia Pulmonary ... Babesiosis • Leptospirosis ... #diagnosis #causes