Fever Flashcards

1
Q

What do you ask a patient to confirm whether they had rigors?

A

Can they stop the shakes

Could they hold a glass of water without spilling any

How long did it last (>10minutes)

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2
Q

What are some red flags in a patient with a fever?

A

They come back to ED after being discharged within 24 hours

They complain “this is the sickest I’ve been before”

Rigors

Recent Travel

Petechial rash

Recent surgery

Severe localisd pain/muscle pain

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3
Q

What are the “coccals” that can kill you quick?

A

Meningicoccal

Pneumococcal

Staphlococcal

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4
Q

What is the pathophysiological mechanism of petechial rash formation?

A

Embolisms that occlude small vessels

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5
Q

What is safe to assume with fever in the elderly?

A

It’s a bacterial infection causing it

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6
Q

When presented with fever + back pain, what diagnosis must be excluded?

A

Epidural abscess (abscess in the dura that impinges on the spinal cord)

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7
Q

What is an ICT card used for?

A

Rapid diagnosis of P. falciparum (a negative result doesn’t exclude vivax)

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8
Q

How might one acquired brucellosis?

A

Eating goats cheese made from unpasteurised milk

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