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1/
Thank you all for the enthusiasm! #WeAreID #IDTwitter #IDfellows

#IDTweetorial
36F w/ fever for 6 days after the day of returning from Manzini, Eswatini. Stayed there 15 days, visited rural fields. Also, weakness, myalgia, night sweats, sore throat

What is your approach?
2/
Many approaches possible.

Check out this amazing tweetorial by @BoggildLab


1⃣ Common things being common: In addition to RTI, gastroenteritis, SSTI, UTI/STI, DO NOT want to miss: MDRT (malaria, dengue, rickettsial infections, typhoid fever)
3/
Or this great video tutorial by @EvelynSongMD and @CPSolvers

clinicalproblemsolving.com/%20dx-schema-f…

2⃣Beware of transmissible infections➡️infection prevention: Ebola, Marburg, Lassa, TB, MERS, SARS, Influenza
4/
Here, we wanted to review “ABCDE” mnemonic by @WuidQ

#Adventure
#Body
#Chronology
#Defend
#Exposure
5/
#Adventure
Where did the patient travel?
wwwnc.cdc.gov/travel/destina…

Central America
Caribbean
South America
Subsaharan Africa
Southeast Asia
South Central Asia

Great approach by regions here:
nejm.org/doi/full/10.10…
6/
#Body for syndrome
1. Undifferentiated fever illness
2. Respiratory
3. Gastrointestinal: Diarrheal vs. Non-diarrheal.
4. Skin
5. Genitourinary
6. Other

bit.ly/2XQ1sJX
nejm.org/doi/full/10.10…
7/
#Chronology

Time between travel/exposures to onset of symptoms (Period of incubation)

What do you think of this table? Any feedback?
8/
#Defense

What vaccination/prophylaxis/medications did the patient receive?

Important information when thinking on preventable infections and resistant organisms.
9/
#Exposure history.
Good mnemonic “I MD SOAPS” by @WuidQ

Special emphasis on:
Animals exposures/bites, vector bites
Food/water consumption
Water exposure
Activities (e.g. safari, caving, swimming, etc.)
10/
In summary,

1⃣ Common things being common: Think MDRT: Malaria, Dengue, Rickettsial infections, Typhoid fever
2⃣ Beware of transmissible infections -> Infection Prevention
3⃣ #ABCDE approach

What is your approach #IDtwitter?
11/
#ABCDE mnemonic summarized in this infographic

Anything you would add to these schemes?
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Keep Current with Infectious Diseases Fellows Network

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