Fever

Question 1

Hyperthermia

Answer 1

41.5°C or 106.7°F

• heat stroke
• thyroid storm
• burns
• neuroleptic malignant syndrome
• serotonin syndrome
• malignant hyperthermia

Question 2

Neuroleptic Malignant Syndrome

Answer 2

DR. T. and his AUTO

• Delirium
• Rigidity
• Temp/fever
• AUTOnomic abnormalities

Question 3

Serotonin Syndrome

Answer 3

• Fever
• Tremor, Incoordination, Rigidity
• MYOCLONUS
• Agitation and AMS
• Diaphoresis and Diarrhea

Question 4

Child with temp

> 39.5°C or 103.1°F

Answer 4

non-immunized?

think occult pneumococcal bacteremia

Question 5

Causes of Fever

besides infxn! :-)

Answer 5

• neoplasm
• collagen vascular disease
• CNS lesion (stroke, ICH, trauma)
• illicit drugs (cocaine, ecstasy [MDMA], meth)
• withdrawal (delirium tremens, benzo w/d)
• factitious fever
• medications…

Question 6

Medications that cause Fever

Answer 6

Antibiotics:

INH, nitrofurantoin (Macrobid), PCNs/ceph, rifampin, sulfonamides

AntiNeoplastic:

bleomycin, streptozocin

Cardiac:

hydralazine, methyldopa, nifedipine, procainamide, quinidine

AntiEpileptics:

phenytoin, carbamazepine

Randoms:

NSAIDs, Barbituates, Cimetidine, Iodides

Question 7

Relationship between Pulse + Fever

Answer 7

Temperature:

for every 1° Farenheit or 0.6° Celcius

Heart Rate:

will increase by 10 bpm

Question 8

Pulse-Temperature Dissociation

Answer 8

• typhoid
• malaria
• Legionnaires’ disease
• mycoplasma
• early septic shock

Question 9

Fever of Unknown Origin

Answer 9

T > 38.3

documented on several occasions

over three weeks

with evaluation in the hospital for one week

TB = 30% Malignancy = 30%