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Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses Medical History: • Skin exposure to
Regions - Frequent Differential ... Diagnoses Medical ... Cardinal Symptoms ... localizing signs ... • Abdominal pain
Travel History - Clues to Infectious Disease Diagnosis in a Traveler • Where did you
Disease Diagnosis ... → Leptospirosis ... Rabies, cat scratch fever ... #differential # ... Diagnosis #Traveler
Fever of Unknown Origin (FUO) - Further Workup • CNS symptoms? Get an LP and imaging
Workup • CNS symptoms ... thin smear • Signs ... Clinical findings of PAN ... values supporting hematologic ... UnknownOrigin #workup #diagnosis
Faget Sign - Pulse-Temperature Dissociation Causes of Relative Bradycardia • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Faget Sign - Pulse-Temperature ... Babesiosis, Malaria, Leptospirosis ... • Non-Infectious ... #bradycardia #differential ... #diagnosis #causes
Fever in the Returning Traveler - History Exposure History: • Street foods / Local water: entenc fever,
Traveler - History ... tattoos, piercings, injections ... schistosomiasis, leptospirosis ... #History #diagnosis ... #differential
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 ... #Fagets #Sign #Pulse ... #Dissociation #diagnosis ... #differential #
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... • Leptospirosis ... Brucellosis Faget's Sign ... #Patterns #Differential ... #Diagnosis #intermittent
Complications of Measles: Pathogenesis and Clinical Findings • ADEM -> Fever, headache, neck stiffness, BBD, mental
Findings • ADEM -> Fever ... SOB, fatigue, fever ... Opportunistic infections ... Complications #diagnosis ... #signs #symptoms
Biphasic Illness of Leptospirosis Some patients do not progress to severe disease. Others, rapidly develop severe disease
brief interval symptom ... -14 days): • Fever ... vomiting, abdominal pain ... Biphasic #Phases #Diagnosis ... #Illness #Signs
Non-Resolving Pneumonias: Etiologies Unusual Infections: - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia) - Endemic Fungi (e.g.: Histoplasmosis,
Etiologies Unusual Infections ... psittaci/avian, leptospirosis ... yersinia/rats, Q fever ... ) - Returning travelers ... #pulmonary #differential
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