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differential fever dermatology infections infectiousdiseases temperature travel antinxp2 antinxp2dm biphasic bradycardia classification clinical dengue dermatomyositis faget fagets gangrenosum heat heatstroke
Faget Sign - Pulse-Temperature Dissociation Causes of Relative Bradycardia • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Faget Sign - Pulse-Temperature ... Dissociation Causes ... Babesiosis, Malaria, Leptospirosis ... #Dissociation # ... #differential #diagnosis
Faget's Sign & Liebermeister's Rule Pulse-Temperature Dissociation EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM INFECTIOUS
Faget's Sign & Liebermeister's ... Dissociation EVERY ... • Malaria • Leptospirosis ... #Fagets #Sign #Pulse ... #diagnosis #differential
Travel History - Clues to Infectious Disease Diagnosis in a Traveler • Where did you
Clues to Infectious ... Disease Diagnosis ... Geographic disease association ... → Leptospirosis ... #differential #Diagnosis
Biphasic Illness of Leptospirosis Some patients do not progress to severe disease. Others, rapidly develop severe disease
Biphasic Illness ... of Leptospirosis ... rash • Others: nausea ... Biphasic #Phases #Diagnosis ... #Illness #Signs
Fever After International Travel Infectious Disease: • Endemic in either the destination or home region Viral Syndromes: Arboviral infections, a
Infections: • Leptospirosis ... fever - Another cause ... of malaria diagnosed ... culture; rapid diagnostic ... #Differential #Diagnosis
Modified dengue severity classification, PAHO/WHO Dengue without warning signs - DNWS: • Person who lives or has
who lives or has traveled ... acute febrile illness ... or undetectable pulse ... perfusion >2 seconds, pulse ... classification #diagnosis
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework Heat Cramps: • Muscle pain or spasm -
- Differential Diagnosis ... → Syncope • Signs ... - Decreased pulse ... #differential #diagnosis ... #causes #stroke
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
- Differential Diagnosis ... Non-Infectious Causes ... Brucellosis Faget's Sign ... - Temperature Pulse ... Dissociation:
Anti-NXP-2 Dermatomyositis What? DM with generalized subcutaneous edema Pts have more myalgias, more severe weakness, and an increased prevalence
chest (in a V-sign ... shoulders (in a shawl sign ... Muscle atrophy may cause ... ill patients, pulse ... Dermatomyositis #diagnosis
Pyoderma Gangrenosum (PG) 50 M Crohn’s dz had a small pustule on the ankle 4 mo ago
Diagnosis? ... idiopathic disease in association ... medications in most cases ... painful: Can use IV pulse ... #PG #clinical #photo
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