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23 year Male Headache + Fever 2 wks (Non-infectious (PItutary Apoplexy (S:…
23 year Male Headache + Fever 2 wks
Infectious
Systemic
HIV/AIDS
Hx: History of sexual activity PE: Rash
Viral Infection
Infectious Mononucleosis [EBV]
Hx: Hx of close contact (kissing) S:Malaise or Fatigue PE: Palpable spleen (enlarged)
Influenza
S: Dry cough, chills Hx: History of flu vaccine PE: Tachycardia, focal wheezing
Zika Virus
Hx: Traveling to endemic areas PE: Maculopapular rash
Bacterial Infection
Q Fever
Typhoid Fever
S: Constipation PE: Abdominal Tenderness
Melioidosis
Tick-borne
Lyme Disease
Rocky Mountain Spotted Fever
Vector Borne
Viral
Dengue Fever
S: Myalgia, Vomiting PE: Rash
Parasitic
Malaria
Hx: Traveling to endemic areas PE: Tachycardia
Chikagunya
Intracranial
Subdural Empyema (rare)
Brain Abscess (rare)
PE: Focal neurological deficit, papilledema
Encephalitis
S: Seizure PE: Altered Mental State
Herpes Simplex Encephalitis
Meningitis
Bacterial
TB Meningitis
S: Neck pain PE: Kernig's Sign, photophobia
Other
Sinusitis
S: Nasal congestion/discharge PE: Tenderness over sinus
Otitis Media
S: Trouble hearing PE: Color changes in tympanic membrane
Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, and Staphylococcus aureus
Non-infectious
PItutary Apoplexy
S: Nausea/vomiting PE: Visual deficit (change in visual field)
Giant Cell Arteritis
S:Jaw pain, headache on temporal side PE: Tenderness over temporal bones
SLE/Lupus
S: Myalgia PE: Lymphadenopathy, butterfly rash over nose&cheek
Brain Tumor/Metastatic Cancer (rare)
Sarcoidosis
PE: Enlarged lymph node
Subarachnoid Hemorrhage (unlikely)
Medication Induced
Hx: Recent change in medication
Jimin Suh, TeamLEAD9 Team 6