Fever / Dr.sadiq Flashcards
What the fever?
Elevation of core body temperature more than 38 c, it’s response to cytokines and acute phase protein, occurs in infected and non infected diseases.
Feeling hot and sweating guide to fever ( true or false )
False, not necessary
What accurate ways to measure body temperature?
Axillary and aural ways less accurate than oral and rectal
What Rigors mean?
Shivering followed by excessive sweating
What causes of Rigors?
Rapid rise in body temperature from any cause
What causes of night sweating?
Infected disease such as TB or infective endocarditis
Excessive sweating occurs in alcohol or anxiety or hot environmental with increase body temperature (true or false )
False, without increasing body temperature
What diagnosis or causes of fever with severe headache and photophobia?
Meningitis
Fever with ……… most common in young children or elderly
Delirium/ هذيان
If patient have fever with myalgia what most common diagnosis?
Viral infections such as influenza and sepsis
Fever with Shock maybe accompany with ……….. and …………
Sever infectious and sepsis
About history taking in infectious diseases if fever and cough lasting 2 days or one month what mean?
- Acute respiratory infections
- TB
What management to parent with fever?
If patient have fever with sever sweating what management?
- Antipyretic/ paracetamol
and tepid sponging (كمادات) - Replacment of salts and water is important
Oral temperature unreliable for fever in old age (true or false)
True
Fever in old age associated with……… and ………..
Confusion and delirium
What most common infections diseases in nursing home residents?
Pneumonia, UTI التهاب المسالك البولية , soft tissue infection and gastroenteritis
What the prominent causes of pyrexia of unknown origin (PUO)?
Infective / TB, intra abdominal abscess, Urinary tract infection, endocarditis infection
Non infective / arthritis and trauma
…………. Mainly in female patients medical or nursing background
Factitious fever
What muchausen’s syndrome mean?
Rare psychological and behavioural conditions in which somebody made or induce symptoms of illness in themselves
What neutropenic fever means?
Patient with neutrophils count less than 0.5 and axillary temperature more than 38,5 c
What causes of neutropenia fever?
Bacterial and fungal infections especially gram + bacteria
Neutropenic fever associated with ………….
dwelling catheters
What the therapy of this Type of fever?
pipracillin + tazobactam I.v
and anti fungal therapy
If fever not resolved within 3-5 days
what therapy?
alternative anti fungal therapy with azole group ( fluconazole, itraconazole, ketaconazole)
What the difference between bacteraem and septicaemia?
Bacteraem /
Presenting of organism in blood in healthy patients without symptoms
Septicaemia/
Presenting of organism in blood
And causes disease
