Brainscape's Knowledge GenomeTM

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


See full index

CPR Exam 2: Clinical > Fever (Tyler) > Flashcards

Fever (Tyler) Flashcards

1
Q

What might be on your ddx if a patient presents with a productive cough or SOB in addition to a fever?

A

Pneumonia, bronchitis, TB

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

What are chills?

A

Subjective reports of shivering associated with rapid changes in body temperature. They are the result of involuntary muscle contractions

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

What might be on your ddx if a patient presents with chest pain in addition to a fever?

A

PE, pneumonia, pericarditis, bacterial endocarditis

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

What might be on your ddx if a patient presents with a change in mental status in addition to a fever?

A

Meningitis, encephalitis, neuroleptic malignant syndrome (NMS), heat stroke, bacterial infection with septic shock

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

What might be on your ddx if a patient presents with blood in sputum in addition to a fever?

A

Pneumonia, bronchitis, TB, PE, lung cancer

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

What two malignancies have the greatest association with fever of unknown origin (FUO)?

A

Hodgkin’s disease and non-Hodgkin’s lymphoma

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

What does persistence of fever despite appropriate antibiotic administration suggest?

A

Superinfection, drug fever, abscess, or a noninfectious mimic of an infectious disease

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

What does a high-risk/massive PE present with?

A

Severe dyspnea at rest, hemodynamic instability

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

Who does microscopic polyangiitis usually present in?

What are the most commonly associated signs and sx?

A

~57YO, M>F

Palpable purpura, macules, vesicles, bull, urticaria

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

What might be on your ddx if a patient presents with nausea or vomiting in addition to a fever?

A

Gastroenteritis, cholecystitis, cholangitis, pyelonephritis, hepatitis, pancreatitis

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

What might be on your ddx if a patient presents skin redness in addition to a fever?

A

Cellulitis, phlebitis, fungal infections, drug reaction

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

What might be on your ddx if a patient presents with hematuria in addition to a fever?

A

UTI, pyelonephritis, renal cell carcinoma, GPA, SLE, other renal vascular diseases

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

Who does GPA usually present in?

What are the most commonly associated signs and sx?

A

~40YO, M=F, W>B

Upper and lower respiratory sx, renal insufficiency, skin lesions, visual disturbance

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

What might be on your ddx if a patient presents with SOB and chest pain in addition to a fever?

A

PE, pneumonia, empyema

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

What is the most common cause of fever in older patients?

A

Bacterial infections

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

What might be on your ddx if a patient presents with dry cough, nasal congestion, sinus pain and a sore throat in addition to a fever?

A

Acute pharyngitis (viral or bacterial), sinusitis, URI

17
Q

What is a fever of unknown origin (FUO)?

A

Fever that lasts 3 wks or longer with temperatures exceeding 38.3˚C/100.9˚F with no clear dx despite 1 wk of clinical investigation

18
Q

What might be on your ddx if a patient presents with a rash in addition to a fever?

A

Meningitis, bacteremia with septic shock, rickettsial dz, bacterial endocarditis, benign causes (viral exanthema, drug fever)

19
Q

What are some uncommon causes to consider in a ddx for fever?

A

CVD (i.e. MI, PE), GI dz (i.e. IBD), other (i.e. drug fever, sarcoidosis)

20
Q

What are night sweats?

A

Subjective reports of nocturnal sweating due to an exaggeration of the normal circadian temperature rhythm

21
Q

What might be on your ddx if a patient presents with dizziness or lightheadedness in addition to a fever?

A

Bacterial infection with septic shock, adrenal insufficiency, PE, benign causes (viral infection with labyrinthitis)

22
Q

What is hyperthermia?

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.

23
Q

How are fever and hyperthermia different?

A

Hyperthermia is na elevation of the temperature related to the inability of the body to dissipate heat. Fever is a rise in temperature in response to endogenous cytokines.

24
Q

What might be on your ddx if a recent chemotherapy patient presents with a fever?

A

Nosocomial infection with neutropenia

25
Q

What are the most commonly associated signs and sx seen with pulmonary embolism?

A

There are no pathognomonic sx or signs. However, there should be a high index of suspicion in patients with risk factors who present with dyspnea, tachypnea, and/or pleuritic chest pain

26
Q

What are some alarm sx associated with fever?

A

High fever (>105.8˚F), rash, change in mental status and level of sensorium, dizziness or light-headedness, recent chemotherapy, SOB and chest pain

27
Q

What might be on your ddx if a patient presents with abdominal pain in addition to a fever?

A

Gastroenteritis, cholecystitis, cholangitis, pyelonephritis, hepatitis, pancreatic cancer, pancreatitis, liver metastasis, PAN, IBD

28
Q

What are the two most common infectious causes of fever of unknown origin (FUO)?

A

TB and intra-abdominal abscesses

29
Q

What might be on your ddx if a patient presents with a fever >105.8˚F?

A

CNS infection, neuroleptic malignant syndrome (NMS), heat stroke

30
Q

What might be on your ddx if a patient presents with diarrhea in addition to a fever?

A

Gastroenteritis, infectious colitis, parasitic infection, IBD

31
Q

Is the presence of shaking chills associated with a greater probability of bacteremia or viralemia?

A

Bacteremia

32
Q

There is a near-universal agreement that a core body temperature of __ represents fever

A

38.3˚C / 100.9˚F

33
Q

What are some common causes to consider in a ddx for fever?

A

Infection (bacterial, viral, rickettsial, fungal, parasitic, sinus, CNS, dental, endocarditis, pneumonia, liver, biliary system, etc.), autoimmune dz, CNS dz, malignancy

34
Q

What might be on your ddx if a patient presents with a fever following a recent procedure?

A

Abscess, wound infection, bacteremia, pneumonia

35
Q

What is the cornerstone of endocarditis dx?

A

Blood culture

36
Q

What is the most common cause of infective endocarditis?

A

Staph aureus

37
Q

What might be on your ddx if a patient presents with dysuria in addition to a fever?

A

UTI, pyelonephritis, renal cell carcinoma, urethritis, prostatitis

38
Q

What are the two most common signs that a patient with endocarditis might present with?

A

Fever and heart murmur

39
Q

What are some inflammatory diseases that are associated with fever?

A

SLE, GCA, RA, IBD

CPR Exam 2: Clinical (8 decks)

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