Pyrexia of unknown origin

Question 1

Definition

Answer 1

Temperature >38.3 for > 3 weeks with no obvious source despirte appropriate investigations

Question 2

Causes

Answer 2

• infections (35%)- abscesses, emypema, bacteria, rhuematic fever
• neoplasms (25%)- lymphoma
• connective tissue disease (20%)- RA, SLE, polyarteririts
• miscellanous - sarcoid

Question 3

examples of intermittent fevers

Answer 3

• always think of malaria
• septicaemia
• UTI
• pelvic inflammatory disease
• Daily spikes- abscesses, TB schistomiasis
• twice daily - leishmanias
• saddleback fever (fever for 7 then normal)- colarado tick fever

Question 4

History

Answer 4

• work
• hobbies
• sexial activites
• eating raw animals
• drug abuse
• immunosuppresion
• revent travel

Question 5

examination of POU

Answer 5

• teeth
• rectum
• vagina
• skin lesons
• liver
• spleen
• nails
• heart