Acute Fever (DDX): Difference between revisions
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==Definition== | ==Definition== | ||
*Defined as Temp >37.8 C (100.4 F) | |||
Defined as Temp >37.8 C (100.4 F) | *>41.0 C (105 F) needs urgent Tx (damage neurons) | ||
>41.0 C (105 F) needs urgent Tx (damage neurons) | |||
==DDX== | ==DDX== | ||
===Infectious=== | ===Infectious=== | ||
#Critical | #Critical | ||
## Sepsis | ## Sepsis | ||
## PNA w/ resp failure | ## [[PNA]] w/ resp failure | ||
## Peritonitis | ## Peritonitis | ||
## Meningitis | ## [[Meningitis]] | ||
## Cavernous sinus thrombosis | ## Cavernous sinus thrombosis | ||
## Necrotizing fasciitis | ## [[Necrotizing fasciitis]] | ||
#Emergent | #Emergent | ||
## PNA | ## [[PNA]] | ||
## Peritonsillar abscess | ## [[Peritonsillar abscess]] | ||
## Retropharyngeal abscess | ## Retropharyngeal abscess | ||
## Epiglottitis | ## Epiglottitis | ||
## Endocarditis | ## Endocarditis | ||
## Pericarditis | ## [[Pericarditis]] | ||
## Appendicitis | ## [[Appendicitis]] | ||
## Cholecystitis | ## Cholecystitis | ||
## Diverticulitis | ## Diverticulitis | ||
## Intra-abdominal abscess | ## Intra-abdominal abscess | ||
## Pyelo | ## [[Pyelo]] | ||
## Tubo-ovarian abscess | ## Tubo-ovarian abscess | ||
## Encephalitis | ## Encephalitis | ||
## Brain abscess | ## Brain abscess | ||
## Cellulitis | ## Cellulitis | ||
## Abscess | ## [[Abscess]] | ||
## Malaria | ## [[Malaria]] | ||
#Non-emergent | #Non-emergent | ||
## OM | ## [[OM]] | ||
## Sinusitis | ## Sinusitis | ||
## Pharyngitis | ## Pharyngitis | ||
| Line 41: | Line 37: | ||
## Tb | ## Tb | ||
## UTI | ## UTI | ||
## Epididymitis | ## [[Epididymitis]] | ||
## Prostatitis | ## Prostatitis | ||
===Non-infectious=== | ===Non-infectious=== | ||
#Critical | #Critical | ||
## AMI | ## [[AMI]] | ||
## PE | ## [[PE]] | ||
## Intracranial hemorrhage | ## Intracranial hemorrhage | ||
## CVA | ## [[CVA]] | ||
## NMS | ## NMS | ||
## Thyroid storm | ## Thyroid storm | ||
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## Transfusion Rx | ## Transfusion Rx | ||
## Pulmonary edema | ## Pulmonary edema | ||
## Heatstroke | ## [[Heatstroke]] | ||
## Malignant hyperthermia | ## Malignant hyperthermia | ||
#Emergent | #Emergent | ||
Revision as of 23:53, 30 October 2011
Definition
- Defined as Temp >37.8 C (100.4 F)
- >41.0 C (105 F) needs urgent Tx (damage neurons)
DDX
Infectious
- Critical
- Sepsis
- PNA w/ resp failure
- Peritonitis
- Meningitis
- Cavernous sinus thrombosis
- Necrotizing fasciitis
- Emergent
- PNA
- Peritonsillar abscess
- Retropharyngeal abscess
- Epiglottitis
- Endocarditis
- Pericarditis
- Appendicitis
- Cholecystitis
- Diverticulitis
- Intra-abdominal abscess
- Pyelo
- Tubo-ovarian abscess
- Encephalitis
- Brain abscess
- Cellulitis
- Abscess
- Malaria
- Non-emergent
- OM
- Sinusitis
- Pharyngitis
- Influenza
- Tb
- UTI
- Epididymitis
- Prostatitis
Non-infectious
- Critical
- AMI
- PE
- Intracranial hemorrhage
- CVA
- NMS
- Thyroid storm
- Acute adrenal insufficiency
- Transfusion Rx
- Pulmonary edema
- Heatstroke
- Malignant hyperthermia
- Emergent
- CHF
- Dehydration
- Recent Seizure
- Sickle cell dz
- Transplant rejection
- Pancreatitis
- DVT
- Serotonin Syndrome
- Non-emergent
- Drug fever (except as in NMS, Serotonin syndrome)
- Malignancy
- Gout
- Sarcoidosis
- Crohn's dz
- Postmyocardiotomy sy
DDx by Heart Rate
Fever 0.55 C increases HR ~10bts/min
- Relative bradycardia
- Concomitant medication
- Drug fever
- Typhoid
- Brucellosis
- Leptospirosis
- Frank bradycardia
- Rheumatic fever
- Lyme dz
- Viral myocarditis
- Endocarditis
Source
2/26/06 DONALDSON (adapted from Rosen)