220 results
Travel History - Clues to Infectious Disease Diagnosis in a Traveler 
 • Where did you
Clues to Infectious ... Disease Diagnosis ... → Leptospirosis ... Schistosomiasis • Skin ... #differential #Diagnosis
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Fever in Returning Travelers ... Frequent Differential Diagnoses ... Medical History: • Skin ... • Skin ulcers ... #differential #diagnosis
Fever in Returning Traveler - ABCDE Mnemonic
A - Adventure - Where did the patient travel? 
B
Fever in Returning Traveler ... did the patient travel ... Non-diarrheal), Skin ... - Time between travel ... Mnemonic #history #diagnosis
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 ... #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
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 ... #Dissociation #diagnosis ... #differential #causes
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Leptospirosis Pathogen ... non-productive cough, nausea ... disease ARDS Diagnosis ... TheIDtrivia #Leptospirosis ... #microbiology #diagnosis
Causes of Relative Bradycardia - Note the propensity for intracellular organisms.
Infectious: 
Legionella, Psittacosis, Q fever, Typhoid
Causes of Relative ... Babesiosis, Malaria, Leptospirosis ... #bradycardia #Causes ... #differential #diagnosis
Ulcerative Blastomycosis Skin Lesion
57 asymptomatic M from Indiana nonpruritic, painless, progressive skin lesion lower back x
Blastomycosis Skin ... painless, progressive skin ... Denies any travel ... Diagnosis? ... dermatology #clinical #photo
Non-Resolving Pneumonias: Etiologies
Unusual Infections:
 - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia)
 - Endemic Fungi (e.g.: Histoplasmosis,
psittaci/avian, leptospirosis ... ) - Returning travelers ... NonResolving #Pneumonia #diagnosis