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Travel History - Clues to Infectious Disease Diagnosis in a Traveler • Where did you
Travel History - ... Clues to Infectious ... Disease Diagnosis ... → Leptospirosis ... #differential #Diagnosis
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses Medical History: • Skin exposure to
Fever in Returning Travelers ... Frequent Differential Diagnoses ... infection Cardinal Symptoms ... localizing signs or symptoms ... #differential #diagnosis
Fever of Unknown Origin (FUO) - Further Workup • CNS symptoms? Get an LP and imaging
Workup • CNS symptoms ... • Returning traveler ... algorithm • Travel ... node biopsy • Clinical ... UnknownOrigin #workup #diagnosis
Leptospirosis Pathogen: Leptospira (interrogans, kirschneri, noguchii) Risk Factors: • Occupational exposure - Farmers, ranchers, trappers, veterinarians • Recreational
Leptospirosis Pathogen ... non-productive cough, nausea ... disease ARDS Diagnosis ... Epidemiologic exposure + clinical ... #treatment #management
Biphasic Illness of Leptospirosis Some patients do not progress to severe disease. Others, rapidly develop severe disease
Biphasic Illness of Leptospirosis ... brief interval symptom ... rash • Others: nausea ... Questions @WuidQ #Leptospirosis ... Biphasic #Phases #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 ... • Fever OTHER CAUSES ... • Drug Fever CLINICAL ... #Dissociation #diagnosis
Differential Diagnosis of Syncope First, is it syncope? History is very important for distinguishing syncope from other
Differential Diagnosis ... Ask about precipitating ... events, prodromal symptoms ... their associated symptoms ... #Diagnosis #EM #
Lyme Disease: Clinical diagnosis. Likely if recent hiking, travel to endemic area, erythema migrans (EM), an
Lyme Disease: Clinical ... diagnosis. ... recent hiking, travel ... Treatment is doxycycline ... #Symptoms #Early
Hordeolum vs Chalazion Hordeolum (Stye): • Location: Most commonly found at or near an eyelash follicle •
eyelash follicle • Cause ... of the lids • Symptoms ... upper lid • Cause ... eyedrops, surgery #Clinical ... #Diagnosis #Management
Meralgia paresthetica: Pathogenesis and Clinical Findings Compression/injury of Lateral Femoral Cutaneous Nerve (LFCN) -> Meralgia paresthetica •
Pathogenesis and Clinical ... paresthetica • Symptoms ... sensory • Before diagnosis ... MeralgiaParesthetica #MSK ... #differential #diagnosis
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