Ch 23 CVS & Lymph Diff Diagnosis Spr2020 PDF

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ANIMAL Reservoir

Differential Diagnosis CVS & Lymphatic Diseases

Direct Contact

VECTOR

Specific Animal

RASH

Rats

FEVER

Cats

ANS: Plague Sign/Symptom: Bubonic: buboes, fever, internal hemorrhaging; septicemic, fever, abdominal pain, shock, necrosis in extremities

Large Mammals Cattle

ANS: Brucellosis Sign/Symptom: undulating fever, chronic flu-like symptoms, Granuloma

ANS: Lyme Disease

Macular Spotted Louse

Undulating Fever

Yes

Bull’s Eye

Mode of Transmission

No ANS: Visceral Leishmaniasis Sign/symptom: enlargement of lymph nodes, liver, spleen, and bone marrow

Bite/Scratch ANS: Cat-Scratch Fever Sign/symptom: lymph node swelling, pain, fever, chills, fatigue

Sign/symptom: stiff neck, facial paralysis, msucle stiffness, early disseminated

Differential Diagnosis Visceral Leishmaniasis Muco/Cutaneous Leishmaniasis Lyme’s Disease Epidemic Typhus Endemic Typhus Rocky Mt. Spotted Fever Anthrax Malaria Babesiosis Brucellosis Tularemia Cyclic Plague Relapsing Fever Rat-Bite Fever Cat-Scratch Fever Toxoplasmosis

Yes

No

Tick ANS: Rocky Mt. Spotted Fever Sign/symptom: high fever, headache, body aches, nausea and vomiting, potentially fatal hypotension and ischemia due to blood coagulation

ANS: Epidemic typhus Sign/Symptom: high fever, body aches, potentially fatal damage to heart and brain

Pneumonia

Relapsing Fever ANS: Relapsing fever Sign/Symptom: recurring fever, headache, muscle aches

Rat Flea Mosquito

ANS: Endemic typhus Sign/symptom: low grade fever, rash, headache, cough

ANS: Malaria Sign/symptom: extreme fever, chills, myalgia, nausea, vomiting

Ingestion ANS: Toxoplasmosis Sign/symptom: tissue cysts, in pregnant women, birth defects or miscarriage

Tick

ANS: Babesiosis

Sign/Symptom: myalgia, arthralgia, fever, malaise, chills

Rabbit

Rodent

ANS: Tularemia ANS: Rat bite fever Sign/symptom: Skin Sign/symptom: ulcer, fever, muscle and lesions, fever, buboes joint pain, rash chills, headache

Sandfly ANS: Muco/Cutaenous Leishmaniasis Sign/symptom sores at site of insect bite that may start out as papules or nodules before forming as large ulcers

Tissue Destruction ANS: Anthrax Sign/Symptom: eschar at site of infection, may lead to septicemia and can be fatal

Differential Diagnosis CVS & Lymphatic Diseases

Other FEVERS

Bacterial

Mono-like

Cardiac Involvement

SEPSIS

Arthritis

Yes ANS: Rheumatic Fever Sign/symptom: migratory asymmetric polyarthritis, pancarditis, painless subcutaneous nodules,

Assoc w/ Congenital Infection

Assoc w/ Childbirth

No High Fever w/ Intense Joint Pain

Yes

No

Differential Diagnosis Hantavirus Pulmonary Syndrome Septic Shock Puerperal Sepsis Viral Bacterial Endocarditis Rheumatic Fever Mononucleosis Cytomegalovirus Chickungunya Hemorrhagic Dengue Fever Yellow Fever Ebola Zika

No

ANS: Chikungunya Sign/Symptom: mild systemic infection, high fever, rash, associated with

ANS: Cytomegalovirus

ANS: Bacterial Endocarditis Sign/Symptom: chest pain, difficulty breathing, fever, dry cough

Yes ANS: Puerperal Sepsis Sign/Symptom: rapid onset fever, shock, death

Sign/Symptom: microcephaly, chorioretinitis, sensorineural deafness

No ANS: Septic Shock Sign/Symptom: : shortness of breath, fever, shivering, or feeling very cold, extreme pain or discomfort, a high heart rate,

Yes

ANS: Yellow Fever Sign/Symptom: nausea, constipation, fatigue, moderate to severe cases may include jaundice, rash, mucosal hemorrhaging, seizures, shock, and death

ANS: Mononucleosis Sign/Symptom: pharyngitis, fever, extreme fatigue, swelling of lymph nodes, spleen, and liver

Yes

ANS: Hantavirus Pulmonary Syndrome

Jaundice

ANS: Zika Sign/symptom: conjunctivitis, low grade fever, mild macular popular rash on hands/feet

arthritis in patients > 50 y/o

Inhalation Vector Transmission

No/Low Fever w/ Mod Joint Pain

Sign/Symptom: initial flu like symptoms followed by pulmonary edema and hypotension leading to pneumonia and shock

Contact w/ Blood ANS: Ebola Sign/Symptom: organ failure, often failure, vomiting, diarrhea, headache, fever

No ANS: Dengue Sign/symptom: can be fatal, hemorrhaging, vomiting, extreme bone and joint pain, abdominal pain...