44 results
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Travelers from ... Frequent Differential Diagnoses ... #Returning #Traveler ... #differential #diagnosis ... #tropical #travel
Fever in the Returning Traveler - History
Exposure History:
 • Street foods / Local water: entenc fever,
Traveler - History ... , travellers' diarrhea ... schistosomiasis, leptospirosis ... #Returning #Traveler ... #History #diagnosis
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Dissociation Causes ... • Infectious Causes ... Babesiosis, Malaria, Leptospirosis ... #differential #diagnosis ... #causes
Travel History - Clues to Infectious Disease Diagnosis in a Traveler 
 • Where did you
Clues to Infectious ... Disease Diagnosis ... → Leptospirosis ... Rabies, cat scratch fever ... #differential #Diagnosis
Causes of Relative Bradycardia - Note the propensity for intracellular organisms.
Infectious: 
Legionella, Psittacosis, Q fever, Typhoid
Causes of Relative ... , Typhoid fever, ... Babesiosis, Malaria, Leptospirosis ... #bradycardia #Causes ... #differential #diagnosis
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 ... OTHER CAUSES ... #Dissociation #diagnosis ... #differential #causes
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
rigors, diarrhea, nausea ... sick contacts, travel ... Vibrio, aeromonas, Capnocytophaga ... BIDMC_IDFellows #Capnocytophaga ... Rash #clinical #photo
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Non-Infectious Causes ... • Leptospirosis ... • Malaria • Leptospirosis ... #Differential #Diagnosis
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
- Differential Diagnosis ... Babesiosis • Leptospirosis ... Spondylarthropathies Other causes ... #differential #diagnosis ... #causes #cardiology
Acute Schistosomiasis: Katayama Fever
 • Most common in travelers and children
 • "Swimmers Itch" in the
Schistosomiasis: Katayama Fever ... Most common in travelers ... exposure) • Fever ... #diagnosis #clinical ... #photo