fever

Question 1

healthy individuals temp at 6 am is __

maximum temp in

rectal temps are

Answer 1

low

afternoon

slightly higher

Question 2

temp in menstruating woman __ 2 wk before ovulation

__ 1F w ovulation until menses

Answer 2

dec

rises

Question 3

reversla of diurnal temps in __

Answer 3

TB

Question 4

fever sett by ___

balances heat production from ___ in muscle/liver

heat can dissipate from __/__

Answer 4

hypothalamic thermoregulatory center

metabolic activity

skin/lungs

Question 5

__ and __ and __ may hve problems generating fever

Answer 5

elderly, babies, steroid users

Question 6

fever caused by release of ___ including IL1/TNF, from macrophages

induces synthesis of ___

causes S/V/inc ___ set point, M/A

Answer 6

pyrogenic cytokines

PGE2

shivering, VC, temp, myalgia, arthralgias

Question 7

exogenous pyrogens include __ and ___
such as __ from gram neg

__ and __ superantigens

__ from staph aureus

Answer 7

bacterial products/toxins
LPS endotoxin

group A/B strep

enterotoxins

Question 8

__ is elevated temp above daily variation

occurs w inc ____

process of heat conservation (__) and heat production ( __ and __ thermo) continues until blood bathing __ matches new settng

Answer 8

fever

hypothalmic set point

VC, shivering/nonshivering, hypothalamic neruones

Question 9

thermal ceiling is around __

assc w __ and __

Answer 9

106.7

CNS hemorrhage, hypothalamic dysfunction

Question 10

other causes of cytokine release

__ dz such as Polymyalgia rheymatic, GCA, Adult Still dz, RA, SLE, gout

__ like RCC, NHL, leukemia, liver

__ and ___
P
D

Answer 10

rheumatologic

cancer

DVT/PE
pancreatitis
drug fever

Question 11

___ is uncontrolled inc body temps that exceeds body ability to lose heat

such as __ (dry skin/high temps)

drug induced- A/S/A

NMS- such as __/P/M

withdrwal of __
sx like lead pipe rigidity, extrapyramidal SE, autonomic dysreg

due to inhibition of ____

Answer 11

hyperthermia

heat stroke

amphet, sympathomimetics, anticholinergics

haloperidol, prochlorperazine, metoclopramide

dopaminergi drgus

centrral dopamine receptors

Question 12

Hyperthermia

Withdrawal of __ and __

SS- w ___, Hyperthermia, Diarrhea, tremor, myoclonus, hyperreflexia, dilated pupisl

Malignant hyperthermia w ___ and __

inherited abnorm of ___ causes rapid inc IC Ca

__ muscle spasm, rigidity, rhabdomyolysis, high CK/K, myoglobinura
tx w ___

endocrinopathy such as __ and ___

Answer 12

alcohol/benzos

MAOI

inhalational anesthetics, succinylcholine

SM sarc reticulum

masseter
dantrolene

hyperT, pheochromocytoma

Question 13

fver in hospitalized pt

wrong___
partially tx ___

possible cause by __ nad ___

could it be ___

pssible ___

Answer 13

ab
infection
catheter/pressure ulcer

nosocomial

atalectasis