Febris Flashcards
1
Q
Keypoiunts FUO
A
- consider wrok up in light of pre- and post test probability
2 trust the clinical clues and make a substantiated diagnosis - diferentiate DD based on clinic, radiology, lab results. Always formulate a leading probability diagnosis
2
Q
Definitie FUO
A
temp ≥ 38.3◦C for ≥ 3 weeks
No cause despite 3 days of admission or ≥ 3 outpatient visits.
3
Q
Temperatuur/heart rate dissociation (facets sign)
A
1 grade Celsius increase: 8-20 BPM increase
4
Q
How to come to a wrok up for FUO DD
A
- summarize complete: clinical findings, radiology workup, lab
- check WHO/RIVM website for outbreaks
- online sites fever travel.ch en Gideon online
5
Q
Extra work up FUO
A
Art. temporalis biopsyin those>55yrBone marrowexamination in case of cytopeniasEndocarditis workup (TEE)Othersonlyifclinicallyindicated(e.g. lymphnode biopsy)