Fever

Question 1

what is the usual cause of fever?

Answer 1

viral or bacterial infection

Question 2

what are some other symptoms with fever

Answer 2

dehydration 
febrile seizures
delirium 
discomfort 
malaise and fatigue 
chills

Question 3

over what temp is a fever for rectal measurement?
oral?
axillary?
tympanic?

Answer 3

rectal 38
oral 37.5
acillary 37.3
tympanic 38

Question 4

how should you measure fever under 2 yrs

Answer 4

rectal , axillary

Question 5

how should you measure fever 2-5 yrs old

Answer 5

rectal
axillary
tympanic

Question 6

how should you measure fever in over 5 yrs old

Answer 6

oral
axillary
tympanic

Question 7

describe the pathophysiology of fever

Answer 7

circulating pyrogens cause production of prostaglandins E2 which elevate the thermoregulatory set point in the hypothalamus

Question 8

how is the body temp increased

Answer 8

vasoconstriction of peripheral blood vessels
shivering
behavioural changes

Question 9

how is hyperthermia different from a fever

Answer 9

hyperthermia is an increase in body temp not due to the hypothalamus

Question 10

what are risk factors for a fever

Answer 10

bacterial infection 
viral infeciton
cancer
multisystem diseases
medications

Question 11

when do you refer a fever

Answer 11

under 6 months 
lasts longer than 72 hours
lasts longer than 24 hours without obvious cause
over 40.5 degrees 
rash cough, concerning symptoms
surgery,travel,new drug