Fever of unknown origin: Difference between revisions
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==Background== | ==Background== | ||
==Clinical Features== | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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*No Etiology (67%) | *No Etiology (67%) | ||
==Workup== | ==Diagnosis== | ||
===Phase 1=== | ===Workup=== | ||
====Phase 1==== | |||
*CBC | *CBC | ||
*ESR | *ESR | ||
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*[[HIV]] | *[[HIV]] | ||
===Phase 2=== | ====Phase 2==== | ||
*[[LP]] | *[[LP]] | ||
*[[BCx]] again | *[[BCx]] again | ||
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*LFTs | *LFTs | ||
===Phase 3=== | ====Phase 3==== | ||
*Abd ultrasound | *Abd ultrasound | ||
*Abd CT | *Abd CT | ||
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*Bone marrow | *Bone marrow | ||
*Technetium bone scan | *Technetium bone scan | ||
==Management== | |||
==Disposition== | |||
==See Also== | ==See Also== | ||
*[[Fever]] | *[[Fever]] | ||
*[[Fever of unknown origin (peds)]] | |||
== | ==References== | ||
<references/> | |||
[[Category:ID]] | [[Category:ID]] | ||
Revision as of 08:56, 22 August 2015
Background
Clinical Features
Differential Diagnosis
- Infectious disease (22%)
- EBV
- UTI
- Enterovirus
- Lyme
- Cat-scratch disease
- Osteomyelitis
- Psittacosis
- Rheumatic fever
- Crohn's
- Bacterial meningitis
- Autoimmune (6%)
- JRA
- SLE
- PAN
- Malignancy (2%)
- Leukemia
- Lymphoma
- Drug-induced fever (2%)
- Factitious (2%)
- No Etiology (67%)
Diagnosis
Workup
Phase 1
Phase 2
- LP
- BCx again
- Sinus/mastoid x-ray
- Ophtho exam for iridocyclits
- CMV, Toxo, Hep A/B, Tularemia, Brucellosis, Leptospirosis, Salmonellosis
- LFTs
Phase 3
- Abd ultrasound
- Abd CT
- Gallium/Indium scanning
- UGI series c sbft
- Bone marrow
- Technetium bone scan