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Travel History - Clues to Infectious Disease Diagnosis in a Traveler • Where did you
Travel History - ... Clues to Infectious ... Diagnosis in a Traveler ... Where did you travel ... → Leptospirosis
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses Medical History: • Skin exposure to
Fever in Returning Travelers ... melioidosis, typhoid, pulmonary ... eosinophilia - Tropical pulmonary ... Fever #Returning #Traveler ... diagnosis #tropical #travel
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 ... Fever #Returning #Traveler
Non-Resolving Pneumonias: Etiologies Unusual Infections: - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia) - Endemic Fungi (e.g.: Histoplasmosis,
psittaci/avian, leptospirosis ... ) - Returning travelers ... Others: - Pulmonary ... abnormalities (Pulmonary ... Pneumonia #diagnosis #pulmonary
Leptospirosis Pathogen: Leptospira (interrogans, kirschneri, noguchii) Risk Factors: • Occupational exposure - Farmers, ranchers, trappers, veterinarians • Recreational
Leptospirosis Pathogen ... non-productive cough, nausea ... failure • Severe pulmonary ... TheIDtrivia #Leptospirosis
Biphasic Illness of Leptospirosis Some patients do not progress to severe disease. Others, rapidly develop severe disease
Biphasic Illness of Leptospirosis ... rash • Others: nausea ... dysfunction) • Pulmonary ... Questions @WuidQ #Leptospirosis
Faget Sign - Pulse-Temperature Dissociation Causes of Relative Bradycardia • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Dissociation Causes ... • Infectious Causes ... Babesiosis, Malaria, Leptospirosis ... Non-Infectious Causes ... 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 ... There are specific cases ... #differential #causes
Causes of Pulmonary Fibrosis #Pulmonary #Fibrosis #Causes #Differential #Diagnosis
Causes of Pulmonary ... Fibrosis #Pulmonary ... #Fibrosis #Causes
Causes of Relative Bradycardia - Note the propensity for intracellular organisms. Infectious: Legionella, Psittacosis, Q fever, Typhoid
Causes of Relative ... Babesiosis, Malaria, Leptospirosis ... #bradycardia #Causes
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