Acute Fever (DDX): Difference between revisions

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==DDX==
==DDX==


A. Infectious
===Infectious===
 
1) Critical


#Critical
## Sepsis
## Sepsis
## PNA w/ resp failure
## PNA w/ resp failure
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## Cavernous sinus thrombosis
## Cavernous sinus thrombosis
## Necrotizing fasciitis
## Necrotizing fasciitis
 
#Emergent
2) Emergent
 
## PNA
## PNA
## Peritonsillar abscess
## Peritonsillar abscess
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## Abscess
## Abscess
## Malaria
## Malaria
 
#Non-emergent
3) Non-emergent
 
## OM
## OM
## Sinusitis
## Sinusitis
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## Prostatitis
## Prostatitis


B. Non-infectious
===Non-infectious===
 
#Critical
1) Critical
 
## AMI
## AMI
## PE
## PE
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## Heatstroke
## Heatstroke
## Malignant hyperthermia
## Malignant hyperthermia
 
#Emergent
2) Emergent
 
## CHF
## CHF
## Dehydration
## Dehydration
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## Transplant rejection
## Transplant rejection
## Pancreatitis
## Pancreatitis
## DVT�
## DVT
## Serotonin Syndrome
## Serotonin Syndrome
 
#Non-emergent
3) Non-emergent
 
## Drug fever (except as in NMS, Serotonin syndrome)
## Drug fever (except as in NMS, Serotonin syndrome)
## Malignancy
## Malignancy

Revision as of 11:57, 12 March 2011

Definition

Defined as Temp >37.8 C (100.4 F)

>41.0 C (105 F) needs urgent Tx (damage neurons)

DDX

Infectious

  1. Critical
    1. Sepsis
    2. PNA w/ resp failure
    3. Peritonitis
    4. Meningitis
    5. Cavernous sinus thrombosis
    6. Necrotizing fasciitis
  2. Emergent
    1. PNA
    2. Peritonsillar abscess
    3. Retropharyngeal abscess
    4. Epiglottitis
    5. Endocarditis
    6. Pericarditis
    7. Appendicitis
    8. Cholecystitis
    9. Diverticulitis
    10. Intra-abdominal abscess
    11. Pyelo
    12. Tubo-ovarian abscess
    13. Encephalitis
    14. Brain abscess
    15. Cellulitis
    16. Abscess
    17. Malaria
  3. Non-emergent
    1. OM
    2. Sinusitis
    3. Pharyngitis
    4. Influenza
    5. Tb
    6. UTI
    7. Epididymitis
    8. Prostatitis

Non-infectious

  1. Critical
    1. AMI
    2. PE
    3. Intracranial hemorrhage
    4. CVA
    5. NMS
    6. Thyroid storm
    7. Acute adrenal insufficiency
    8. Transfusion Rx
    9. Pulmonary edema
    10. Heatstroke
    11. Malignant hyperthermia
  2. Emergent
    1. CHF
    2. Dehydration
    3. Recent Seizure
    4. Sickle cell dz
    5. Transplant rejection
    6. Pancreatitis
    7. DVT
    8. Serotonin Syndrome
  3. Non-emergent
    1. Drug fever (except as in NMS, Serotonin syndrome)
    2. Malignancy
    3. Gout
    4. Sarcoidosis
    5. Crohn's dz
    6. Postmyocardiotomy sy

DDx by Heart Rate

Fever 0.55 C increases HR ~10bts/min

A. Relative bradycardia

    1. Concomitant medication
    2. Drug fever
    3. Typhoid
    4. Brucellosis
    5. Leptospirosis

B. Frank bradycardia

    1. Rheumatic fever
    2. Lyme dz
    3. Viral myocarditis
    4. Endocarditis

Source

2/26/06 DONALDSON (adapted from Rosen)


Definition

Defined as Temp >37.8 C (100.4 F)

>41.0 C (105 F) needs urgent Tx (damage neurons)


DDX

A. Infectious 

    1) Critical
  • Sepsis
  • PNA w/ resp failure
  • Peritonitis
  • Meningitis
  • Cavernous sinus thrombosis
  • Necrotizing fasciitis
    2) 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
    3) Non-emergent
  • OM
  • Sinusitis
  • Pharyngitis
  • Influenza
  • Tb
  • UTI
  • Epididymitis
  • Prostatitis

B. Non-infectious 

    1) Critical
  • AMI
  • PE
  • Intracranial hemorrhage
  • CVA
  • NMS
  • Thyroid storm
  • Acute adrenal insufficiency
  • Transfusion Rx
  • Pulmonary edema
  • Heatstroke
  • Malignant hyperthermia
    2) Emergent
  • CHF
  • Dehydration
  • Recent Seizure
  • Sickle cell dz
  • Transplant rejection
  • Pancreatitis
  • DVT
  • Serotonin Syndrome
   3) 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

A. Relative bradycardia

  • Concomitant medication
  • Drug fever
  • Typhoid
  • Brucellosis
  • Leptospirosis

B. Frank bradycardia

  • Rheumatic fever
  • Lyme dz
  • Viral myocarditis
  • Endocarditis


Source

2/26/06 DONALDSON (adapted from Rosen)

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