Pyrexia (Unknown Origin) Flashcards
1
Q
Infective Causes
A
TB Abscess Infective Endocarditis Osteomyelitis Pneumonia UTI Meningitis/Encephalitis HIV Hepatitis Tropical Infection
2
Q
Systems R/V
A
Resp Abdominal GU Neurological Skin Joints
Other: weight loss, night sweats, bleeding, rash
3
Q
Travel Hx
A
Which countries? Dates?
Urban/Rural?
Type of accom?
4
Q
Sexual RF
A
Sexual intercourse whilst away?
- If yes, full sexual hx
5
Q
Procedures
A
Hospitalisation
- IV Access
- Blood transfusion
Piercings
IVDU
6
Q
Activities RF
A
Animal
- bites/close contact
- Farm animals
Contacts
- Others unwell
- Known Diagnosis?
E&D
- High risk foods?
- Unsterile water
Swimming?
- Natural lakes/rivers
- Water rafting, canoing
7
Q
Prevention
A
Vaccinations?
Malarial prophylaxis?
8
Q
Drug Hx
A
Immunosupressants
ART
Antimalarials
Recent chemo
9
Q
Malignancy Causes
A
Lymphoma
Leukaemia
10
Q
Rheumatology
A
RA SLE GCA PMR Still's disease
11
Q
Miscellaneous
A
Drugs
PE
IBD
12
Q
Bedside Ix
A
Temp
Urine dip
13
Q
Bloods
A
FBC, UEs, LFTs, CRP, ESR amylase HIV, hepatitis serology HIV
Autoantibody screen
- ANA, cANCA, anti-CCP, anti-dsDNA, RF
Blood cultures
- 3x for IE
Blood film
- Malaria
14
Q
MC&S
A
Sputum
Urine
Throat/ear/genital
15
Q
Imaging
A
CXR
Abdo USS
CT/MRI
