Acute Fever (DDX): Difference between revisions
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## [[AMI]]
## [[AMI]]
## [[PE]]
## [[PE]]
## Intracranial hemorrhage
## [[Intracranial Hemorrhage]]
## [[CVA]]
## [[CVA]]
## NMS
## [[NMS]]
## Thyroid storm
## [[Thyroid Storm]]
## Acute adrenal insufficiency
## [[Acute Adrenal Insufficiency]]
## Transfusion Rx
## [[Transfusion Rx]]
## Pulmonary edema
## [[Pulmonary Edema]]
## [[Heat Stroke]]
## [[Heat Stroke]]
## [[Malignant Hyperthermia]]
## [[Malignant Hyperthermia]]
#Emergent
#Emergent
## CHF
## [[CHF]]
## Dehydration
## [[Dehydration]]
## Recent Seizure
## Recent [[Seizure]]
## Sickle cell dz
## [[Sickle Cell Dz]]
## Transplant rejection
## Transplant rejection
## Pancreatitis
## [[Pancreatitis]]
## DVT
## [[DVT]]
## Serotonin Syndrome
## [[Serotonin Syndrome]]
#Non-emergent
#Non-emergent
## Drug fever (except as in NMS, Serotonin syndrome)
## Drug fever (except as in [[NMS]], [[Serotonin Syndrome]])
## Malignancy
## Malignancy
## Gout
## [[Gout]]
## Sarcoidosis
## Sarcoidosis
## Crohn's dz
## Crohn's dz

Revision as of 23:05, 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

  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. Pyelonephritis
    12. Tubo-ovarian Abscess
    13. Encephalitis
    14. Brain abscess
    15. Cellulitis
    16. Abscess
    17. Malaria
  3. Non-emergent
    1. Otitis Media
    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. Heat Stroke
    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

  1. Relative bradycardia
    1. Concomitant medication
    2. Drug fever
    3. Typhoid
    4. Brucellosis
    5. Leptospirosis
  2. Frank bradycardia
    1. Rheumatic fever
    2. Lyme dz
    3. Viral myocarditis
    4. Endocarditis

Source

2/26/06 DONALDSON (adapted from Rosen)

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