Febris Flashcards

1
Q

Keypoiunts FUO

A
  1. consider wrok up in light of pre- and post test probability
    2 trust the clinical clues and make a substantiated diagnosis
  2. diferentiate DD based on clinic, radiology, lab results. Always formulate a leading probability diagnosis
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2
Q

Definitie FUO

A

temp ≥ 38.3◦C for ≥ 3 weeks

No cause despite 3 days of admission or ≥ 3 outpatient visits.

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3
Q

Temperatuur/heart rate dissociation (facets sign)

A

1 grade Celsius increase: 8-20 BPM increase

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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
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5
Q

Extra work up FUO

A

Art. temporalis biopsyin those>55yrBone marrowexamination in case of cytopeniasEndocarditis workup (TEE)Othersonlyifclinicallyindicated(e.g. lymphnode biopsy)

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