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| ==Definition==
| | #REDIRECT[[Acute fever]] |
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| Defined as Temp >37.8 C (100.4 F)
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| >41.0 C (105 F) needs urgent Tx (damage neurons)
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| ==DDX==
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| A. Infectious
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| 1) Critical
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| ## Sepsis
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| ## PNA w/ resp failure
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| ## Peritonitis
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| ## Meningitis
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| ## Cavernous sinus thrombosis
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| ## Necrotizing fasciitis
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| 2) Emergent
| |
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| ## PNA
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| ## Peritonsillar abscess
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| ## Retropharyngeal abscess
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| ## Epiglottitis
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| ## Endocarditis
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| ## Pericarditis
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| ## Appendicitis
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| ## Cholecystitis
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| ## Diverticulitis
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| ## Intra-abdominal abscess
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| ## Pyelo
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| ## Tubo-ovarian abscess
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| ## Encephalitis
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| ## Brain abscess
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| ## Cellulitis
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| ## Abscess
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| ## Malaria
| |
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| 3) Non-emergent
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| ## OM
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| ## Sinusitis
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| ## Pharyngitis
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| ## Influenza
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| ## Tb
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| ## UTI
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| ## Epididymitis
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| ## Prostatitis
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| B. Non-infectious
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| 1) Critical
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| ## AMI
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| ## PE
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| ## Intracranial hemorrhage
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| ## CVA
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| ## NMS
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| ## Thyroid storm
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| ## Acute adrenal insufficiency
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| ## Transfusion Rx
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| ## Pulmonary edema
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| ## Heatstroke
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| ## Malignant hyperthermia
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| 2) Emergent
| |
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| ## CHF
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| ## Dehydration
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| ## Recent Seizure
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| ## Sickle cell dz
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| ## Transplant rejection
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| ## Pancreatitis
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| ## DVT�
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| ## Serotonin Syndrome
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| 3) Non-emergent
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| ## Drug fever (except as in NMS, Serotonin syndrome)
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| ## Malignancy
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| ## Gout
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| ## Sarcoidosis
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| ## Crohn's dz
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| ## Postmyocardiotomy sy
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| ==DDx by Heart Rate==
| |
| | |
| Fever 0.55 C increases HR ~10bts/min
| |
| | |
| A. Relative bradycardia
| |
| | |
| ## Concomitant medication
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| ## Drug fever
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| ## Typhoid
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| ## Brucellosis
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| ## Leptospirosis
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| B. Frank bradycardia
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| ## Rheumatic fever
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| ## Lyme dz
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| ## Viral myocarditis
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| ## Endocarditis
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| ==Source==
| |
| | |
| 2/26/06 DONALDSON (adapted from Rosen)
| |
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| | |
| | |
| ==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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| [[Category:ID]]
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