Fever

Question 1

Define Rigors.

Answer 1

uncontrollable shaking >10 minutes

Question 2

Questions to characterize rigors?

Answer 2

1. can you will yourself to stop in the middle of a rigor?

2. what if you try and hold a cup of water while you’re rigoring?

Question 3

what 3 things cause rigors?

Answer 3

1. bacterial
2. malaria
3. influenza

Question 4

When worried about hypotension in a young healthy person?

Answer 4

<90 systolic

Question 5

cut-off for a high resp rate?

Answer 5

> 24

Question 6

what kind of rash to be careful of?

Answer 6

petechial rash: micro hemorrhages near sock bands, waist bands. doesn’t blanche

Question 7

how many sets of blood cultures if suspect bacterial? when do you take them?

Answer 7

2 sets = 4 bottles

-take them before empirical antibiotics

Question 8

who most susceptible to bacterial infections?

Answer 8

kids

elderly

Question 9

3 coccals that cause myalgia/rigors to think of?

Answer 9

meningococcal
staph
strep

Question 10

2 ways to test malaria?

Answer 10

3 sets of thick/thin serial 24 hours

ICT: P.Falciparum

Question 11

Fever plus backpain should think of?

Answer 11

epidural abscess: MRI, call neurosurgeon