Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

CPR II Exam #2 > Fever DSA > Flashcards

Fever DSA Flashcards

1
Q

Range for fever Dx

A

Above 100.9 F or 37.8 C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Night sweats are caused by…

A

Exaggeration of normal circadian temperature rhythm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What molecules are responsible for fever? Where do they act? What does it produce?

A

Endogenous pyrogens act at the hypothalamus and lead to an increase in local PGE2, monoamines, Na+, Ca++, etc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

3 endogenous pyrogens causing fever

A

IL-1
TNF
INF-alpha

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is different between TNF and IL-1?

A

TNF does NOT activate WBCs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Hyperthermia definition

A

An elevation in body temperature due to loss of homeostatic mechanisms and inability to increase heat loss in response to environmental heat, as in heat stroke.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Fever of unknown origin (FUO)

A

Fever lasting 3 wks or more with temps exceeding 38.3 C (100.9 F) with no Dx despite 1 wk of clinical investigation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Most common cause of fever in older patients…

A

Infection in RT, UT with skin and soft tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

4 common causes of fever

A

Infection
AI dz
CNS dz
Malignancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Drug fever definition

A

Fever coinciding w/ administration of a drug and disappearing after d/c of the drug, when no other cause for the fever is evident after careful exam/workup

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Best tools for determining body temp (2)

Greatest variability is with what tool?

A

Electronic and infrared thermometers

Tympanic thermometer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

In patients with fever, the best predictors of bacteremia are the patient’s…

A

Underlying diseases (renal failure, trauma, etc.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Presence of shaking in a pt. w/ fever increases the probability of…

A

Bacteremia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Most common infectious causes of FUO (2)

A

Tb

Intra-abdominal abscesses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Most common malignancies causing FUO (2)

A

Hodgkin’s or non-Hodgkin’s lymphoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Alarm symptoms associated with fever; if present, consider:

Fever > 105.8 F
Rash
Mental status change
Dizziness/LHness
Recent chemo
SOB/CP
A

Fever > 105.8 F: CNS infection, NMS, heat stroke
Rash: Meningitis, sepsis, Rickettsia, endocarditis
Mental status change: same as rash
Dizziness/LHness: Septic shock, adrenal insufficiency, PE
Recent chemo: nosocomial infection w/ neutrophils
SOB/CP: PE, pneumonia, empyema

17
Q

Causes of IE

A

Historically, been associated w/ heart valve damaged by RHD

Currently, healthcare contact and IVD is most common

18
Q

To Dx IE, the cornerstone of diagnosis of endocarditis is…

What else is helpful?

A

Blood cultures

Transesophageal echo

19
Q

Presenttation of endocarditis is…

When pts. who present ill, toxic or septic demand…

A

Vast in variability

Urgent treatment and workup

20
Q

Most common cause of HF with reduced EF is…

A

CAD (reduced EF -> LV dilation)

21
Q

Most common cause of HF with preserved EF is…

A

HTN w/ LVH

22
Q

S3 and S4 gallops are associated with which parts of the cardiac cycle?

A

S3 - systolic HF

S4 - diastolic HF

23
Q

What is the primary cause of myocarditis?

What causes secondary myocarditis?

A

Acute viral infection or post-viral immune respsone

Inflamation from non-viral pathogens, meds, chemicals, inflammatory diseases, etc.

24
Q

What kind of CP is common in myocarditis?

A

Pleural-pericardial CP

25
Q

Exam of myocarditis reveals…

A

Tachycardia
Gallop rhythm
Other evidence of HF or conduction defects

26
Q

ECG of myocarditis shows…

It might mimic…

ECG features that suggest a higher rate of death or cardiac transplantations…

A

Sinus tachycardia
Intraventricular conduction abnormalities

Might mimic acute MI w/ ST changes, positive cardiac markers and regional wall motion abnormalities

Q waves or LBBB

27
Q

Confirmation of myocarditis requires:

What is insensitive?

A

Histology/Bx

Labs (troponins, CK-MB)

28
Q

Presenting SX of microscopic polyangiitis

A 
Purpura
Macules
Vesicles
Bullae
Urticaria

CPR II Exam #2 (20 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions