fever

Question 1

normal temp

Answer 1

36. 8 +/- 0.4

98. 2 +/- 0.7

Question 2

fever definition: core temp of _____

Answer 2

38 C

100.4 F

Question 3

fever definition: 2 consecutive elevations of ____

Answer 3

38.3 C

101 F

Question 4

incr body temp above that set by central regulation due to insufficient heat dissipation

Answer 4

hyperthermia

Question 5

most common cause of fever without localizing source

Answer 5

infxn (most commonly bacterial)

Question 6

most common cause of fever without localized source in children 3-36 months

Answer 6

occult bacteria

Question 7

predictors of occult bactermia (3)

Answer 7

1. age 3-36 mon
2. fever > 39
3. WBC >15K

Question 8

which vaccines can be assc’d with fever

Answer 8

hemophilus, strep pneumo

Question 9

patients with ____may be leukopenic

Answer 9

neisseria meningitidies

Question 10

which patients 3-36 months to tx in fever without source?

Answer 10

ill appearing, unstable vitals, lab findings, immunization status incomplete

Question 11

how to tx patients 3-36 months in fever without source?

Answer 11

IM or IV ceftriaxone

Question 12

fever of unknown origin definition: fever >___on several occasions without established etiology for _____

Answer 12

fever >38.3 on several occasions without established etiology for 2-3 weeks

Question 13

categories of FUO (4)

Answer 13

1. nosocomial
2. neutropenic
3. HIV-assc’d
4. classic

Question 14

most common cause of nosocomial fever in adults

Answer 14

pneumonia, UTI

Question 15

most common cause of classic FUO

Answer 15

infxn, malignancy

Question 16

most common cause of FUO of infectious etiology

Answer 16

abdominal abscess

Question 17

most common cause of malignancies manifesting as FUO

Answer 17

non-hodgkins lymphoma