Acute Fever (DDX): Difference between revisions
| Line 6: | Line 6: | ||
===Infectious=== | ===Infectious=== | ||
#Critical | #Critical | ||
## Sepsis | ## [[Sepsis]] | ||
## [[PNA]] w/ resp failure | ## [[PNA]] w/ resp failure | ||
## Peritonitis | ## Peritonitis | ||
## [[Meningitis]] | ## [[Meningitis]] | ||
## Cavernous | ## [[Cavernous Sinus Thrombosis]] | ||
## [[Necrotizing Fasciitis]] | ## [[Necrotizing Fasciitis]] | ||
#Emergent | #Emergent | ||
## [[PNA]] | ## [[PNA]] | ||
## [[Peritonsillar | ## [[Peritonsillar Abscess]] | ||
## Retropharyngeal | ## [[Retropharyngeal Abscess]] | ||
## Epiglottitis | ## [[Epiglottitis]] | ||
## Endocarditis | ## [[Endocarditis]] | ||
## [[Pericarditis]] | ## [[Pericarditis]] | ||
## [[Appendicitis]] | ## [[Appendicitis]] | ||
## Cholecystitis | ## [[Cholecystitis]] | ||
## Diverticulitis | ## [[Diverticulitis]] | ||
## Intra-abdominal abscess | ## Intra-abdominal abscess | ||
## [[Pyelonephritis]] | ## [[Pyelonephritis]] | ||
## Tubo-ovarian | ## [[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]] | ||
## Influenza | ## [[Influenza]] | ||
## Tb | ## [[Tb]] | ||
## UTI | ## [[UTI]] | ||
## [[Epididymitis]] | ## [[Epididymitis]] | ||
## Prostatitis | ## [[Prostatitis]] | ||
===Non-infectious=== | ===Non-infectious=== | ||
Revision as of 22:58, 1 January 2012
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
- Pyelonephritis
- Tubo-ovarian Abscess
- Encephalitis
- Brain abscess
- Cellulitis
- Abscess
- Malaria
- Non-emergent
Non-infectious
- Critical
- AMI
- PE
- Intracranial hemorrhage
- CVA
- NMS
- Thyroid storm
- Acute adrenal insufficiency
- Transfusion Rx
- Pulmonary edema
- Heat Stroke
- 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)