Fever history

Question 1

What are the most common causes of pyrexia of unknown origin?

Answer 1

Bacterial (abscess, endocarditis, TB, osteomyelitis),
Viral,
Autoimmune,
Malignancy

Question 2

What are the important questions to ask in a fever history

Answer 2

• Recent infections?
• Travel history?
• Recent exposure (including sexual)
• Signs of autoimmune diseases (stiffness, rashes, headaches, dry cough/eyes

Question 3

What is the definition of PUO?

Answer 3

Temp > 38.3 for at least 3 weeks

Question 4

What are important questions for ask in a breast lump history?

Answer 4

• Any skin changes? discharge? bone pain? symptoms of malignancy
• Age of onset of menarche, age of onset of menopause, whether they breastfed?

Question 5

What is the acronym used to explore reheumatological symptoms?

Answer 5

PRISMS
Pain
Rashes, skin lesions and nail changes,
Immune - Sclerosis, SLE, Sjogrens
Stiffness
Malignancy questions
Swelling and sweats