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11year old, Indonesian female (intermittent fever for 2 months (Endocrine,…

- - - - Respiratory
        
        Tuberculosis
        
        Night sweats, hemoptysis, cough
        
        Pneumonia
        
        paroxysmal cough, SOB, dullness on percussion
      - Group A Streptococcus
        
        Rheumatic fever
        
        Infective Endocarditis
        
        Joint pain, subcutaneous nodules. chest pain
        
        Scarlet fever
        
        sandpaper-like exanthem, strawberry tongue swollen tonsils with exudate
      - Neisseria meningitidis
        
        Meningitis
        
        neck stiffness, petechiae and palpable purpura, photophobia
      - Gram -ve Bacilli/Enterococcus
        
        UTI
        
        Pyelonephritis
        
        abdomen pain, Dysuria, frequent urination
      - STD
        
        Gonorrhea
        
        vaginitis with discharge, itching, pain
        
        Syphilis
        
        flu-like symptoms, wart-like lesions (mouth, anogenital area), papules, plaques on palms/soles (tender)
      - Leptospirosis
        
        conjunctivitis, abdominal pain, jaundice, pretibial rash
      - B. henselae
        
        Cat Scratch Disease
        
        Lymphadenopathy (underarm/neck), papule, papulopustule, or nodule, conjunctivitis, mucosal ulcers
      - Salmonellosis
        
        nausea, vomiting, abdominal cramping, headache,diarrhea.
      - Toxoplasmosis
        
        macular erythematous rash,lymphadenopathy
      - Borrelia
        
        Lyme disease
        
        Multiple, scattered, blanching, light pink or dusky oval patches or minimally elevated plaques
      - F. tularensis
        
        Tulerimia
        
        Headache, myalgia (low back), coryza, sore throat, splenomegaly, generalized lymphadenopathy
      - Staphylococcus
    - - CMV
        
        muscle aches, headache, fever, Hepato/splenomegaly (2-3weeks)
      - EBV
        
        Mononucleosis
        
        pharyngitis, Lymphadenopathy,
      - Enterovirus
        
        Hand foot mouth disease
      - Hepatitis virus
        
        Abdomen discomfort, diarrhea, Jaundice, Joint pain
      - HIV
        
        Lymphadenopathy (>3/12), Hepato/Splenomegaly, rash
      - HPV
        
        Genital warts
      - Chikungunya
      - Zika
      - Dengue
      - URTI
        
        Adenovirus
        
        Flu-like symptoms, tonsillitis, ear infections
    - - Malaria
        
        back pain, myalgia, nausea, vomiting, diarrhea, cough
  - - - painful enlarged thyroid
    - - polyuria, polydipsia
      - Diabetic ketoacidosis
    - - hand tremor, heat intolerance
      - Graves
    - - Buffalo hump, moon-faced, polyuria, polydipsia
    - - palpitations, hypertension, sweating, dyspnea, headaches
  - - - CNS
        
        Brain tumors
        
        Medulloblastomas
      - Eye
        
        Retinoblastoma
      - Renal
        
        Wilms Tumor
      - Bone
        
        Osteosarcoma
        
        Ewing sarcoma
      - Smooth muscle
        
        Rhabdomyosarcoma
      - Adrenal
        
        Neuroblastoma
    - - Acute lymphocytic leukemia
        
        ecchymosis, bone pain, lymphadenopathy, dyspnea, reoccurring infections, dizziness, mental status alteration, weight loss
      - lymphoma
        
        Non-hodgkin
        
        lymphadenopathy, tachycardia, respiratory distress, pallor, and purpura, Weightloss, Night sweats
        
        Hodgkin
        
        SOB, weightloss, night sweats,lymphadenopathy
  - - - Reye syndrome
    - - Tricyclics
      - SSRI
        
        Tachycardia, HBP
  - - - hypothalamus lesion
    - - pulmonary embolism
  - - - IBD
        
        Ulcerative colitis
        
        frequent, bloody diarrhea, erythema nodosum
        
        Crohn disease
        
        abdominal pain, diarrhea, Oral ulcer
      - Juvenile idiopathic arthritis
        
        Joint warmth, swelling, limitation of motion (loss of extension)
    - - SLE
        
        malar flush, discoid rash, joint swelling, alopecia, photosensitivty
        
        Antiphospholipid syndrome
      - Vasculitis
        
        Kawasaki disease
        
        cracked lips, strawberry tongue
        
        Coronary aneurysm
        
        Henoch schonlein purpura
        
        purpuric macules, palpable purpura (Symmetrically on legs, buttocks)