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differential rheumatology fever infections temperature antinxp2 antinxp2dm autoimmune biphasic bradycardia classification dengue dermatology dermatomyositis encephalitis faget fagets heat heatstroke intermittent
Faget Sign - Pulse-Temperature Dissociation Causes of Relative Bradycardia • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Faget Sign - Pulse-Temperature ... Dissociation Causes ... Beta-blockers, CNS ... 30048576/ #Faget #Sign ... #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 ... • Malaria • Leptospirosis ... Beta Blockers • CNS ... #Fagets #Sign #Pulse ... #diagnosis #differential
Biphasic Illness of Leptospirosis Some patients do not progress to severe disease. Others, rapidly develop severe disease
Biphasic Illness ... maculopapular rash ... • Others: nausea ... Biphasic #Phases #Diagnosis ... #Illness #Signs
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework Heat Cramps: • Muscle pain or spasm -
- Differential Diagnosis ... fatigue Heat Rash ... → Syncope • Signs ... - Decreased pulse ... #causes #stroke
Modified dengue severity classification, PAHO/WHO Dengue without warning signs - DNWS: • Person who lives or has
without warning signs ... who lives or has traveled ... acute febrile illness ... Dengue with warning signs ... the following signs
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework Viral Encephalitis: MCC: Enteroviruses (e.g., coxsackievirus
CNS Infections - ... Maculopapular rash ... Acute meningeal signs ... second phase of the illness ... • Uveitis • Rash
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:
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... claudication, pulse ... , mucositis • Rash ... tract, and often causes ... chorioretinitis, CNS
Anti-NXP-2 Dermatomyositis What? DM with generalized subcutaneous edema Pts have more myalgias, more severe weakness, and an increased prevalence
(blue-purple) rash ... chest (in a V-sign ... shoulders (in a shawl sign ... Muscle atrophy may cause ... ill patients, pulse
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Symptoms: • Gottron rash ... papules and Gottron sign ... ) • Shawl sign ... nucleotidase 1A (Anti cN ... statins - probably caused
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