Fever Flashcards
What defines a fever
Temp >38.5
What is SIRS
Temp >38 with Tachypnea, Tachycardia or WBC increased
Sepsis is SIRS with infectious source
List five causes of fever in new borns
Bactermia UTI Meningitis Gastroenteritis Pneumonia
Ask about mom symptoms, GBS, STI, ROM
List ten non infectious causes of fever
MI PE Intracranial hemorrhage Stroke Neuroleptic malignant syndrome Hyperthyroid Transfusion reaction Adrenal insufficiency Vasculitis RA IBD Sarcoidosis Leukemia Lymphoma Metastatic cancer EtoH withdrawl Heat stroke
List 5 causes of post surgical fever
Atelectasis Pneumonia UTI DVT infection Anesthetic Transfusion reaction
Wind, Water, Walking, Wound, Wonder Drug
List three red flags for fever
LOC changes
Immunosuppressed
Neutropenia
B symptoms
What inestigations would you want to do if someone has a persistent fever
WBC Midstream urine culture CXR Blood cultures TSH CRP Monospot Thraot swab
Echo CT LP Bone scan SPEP ANA HIV TB
List six serious causes of fever you don’t want to miss
Meningitis PE Cancer or Febrile neutropenia Sepsis Stevens Johnson Endocarditis
What cancer commonly causes fever
Renal Cell
List five symptoms of Serotonin syndrome
Autonomic instability: fever, tachycardia, rigidity Altered LOC: disorientation Neuromuscular Abn: tremor, clonus Tremor Insomnia Nausea Diarrhea Enlarged pupils Sweating Agitation Clonus Eye movements Fever Confusion Rigidity Rhabdo
List three medications that can lead to Serotonin syndrome
MAOI SSRI TCA Opioids St Johns Wort Cocaine MDMA Ondansetron Carbamazapine Triptan
How to treat serotonin syndrome
DC meds
Fluids
Cyproheptadine (Antihistamine)
Symptoms of malignant neuroleptic syndrome
Delerium
Diaphoresis
Rigidity
medications that can cause Malignant neuroleptic syndrome
Antipsychotics
Treatment of malignant neurleptic syndrome
ABCs
Fluids
Cooling
Dantrolene and bromocriptine
