15. Fever DSAs Flashcards
Fever is a rise in body temperature due to endogenous cytokines, low cut off is 37.4-38. There is universal agreement that what temperature is represents a fever?
38.3C = 100.9
Common causes of fever include infection, autoimmune DO, CNS disease and malignancy. Infection with what?
bacterial infection
Lymphomas are the main malignancy associated with fever (non and hodgkin lymphoma), inflammatory reactions including giant (temporal) cell arteritis and what are the most common?
SLE
also IBD
High fevers can be associated with CNS infection, NMS, and heat stroke (greater than 105.8)
MEOW
Infective endocarditis is usually associated with rheumatic heart disease and can be diagnosed by blood cultures, clinical eval alone is not sufficient, and what is most important for diagnosing endocarditis?
Transesophageal Echocardiography
HF and myocarditis are commonly associated with fever. Myocarditis usually happesn after and URI, commonly presents with acute?
heart failure without any antecedent symptoms
Vasculitis is also common cause of fever in clinical. Pts usually present with systemic/ constitutional symptoms with evidence 0f single/multi organ dysfunction. symptoms include?
fever
fatigue
weight loss
and arthralgias
What vasculitis is MC associated with upper and lower respiratory tract symptoms, renal insufficiency, skin lesions and visual disturbances?
Wegeners (granulomatosis with polyangitis)
What vasculitis is MC associated with palpable purpura, macules, vesicles, bullae and urticaria?
Microscopic polyangiitis
What vasculitis is MC associated with fever, HTN, myalgias, abdominal pain, hematuria, CHF, GI bleeding and orchitis?
Polyarteritis Nodosa (Hep B)
Fever of unknown origin is defined as >38.3C, illness duration of longer than 3 weeks, no immunocompromised state, and dx remains uncertain after?
Hx
Physical
Nosocomial infections are from the hospital, with an increasing chance of it being multi drug resistant such as extended spectrum beta lactamase producing bacteria (ESBL), vancomycin resistant enterococci (VRE), and?
methicillin resistant staphylococcus aureus (MRSA)