FUO History

Question 1

HPI Questions

Answer 1

OPQRST. How do you know you had a fever? What was your temperature? Pattern (continuous, intermittent, progressive, day, night, peaks and troughs)? Chills, lethargy, night sweats, weight loss? What were previous fevers like?

Question 2

Renal ROS

Answer 2

Oliguria, anuria, hematuria, dysuria or flank pain?

Question 3

Respiratory ROS

Answer 3

Cough? Sputum? Hemoptysis? Dyspnea?

Question 4

GI ROS

Answer 4

Diarrhea? Bloody stools? What/when did you eat last? RUQ pain? Jaundice?

Question 5

Neuro ROS

Answer 5

Headache, neck stiffness, focal neurologic deficits

Question 6

Cardiovascular ROS

Answer 6

Angina, dyspnea

Question 7

MSK ROS

Answer 7

Myalgia, single arthralgia, small joint arthralgia, calf pain/swelling

Question 8

ENT ROS

Answer 8

Throat pain, tooth pain, lymphadenopathy

Question 9

Skin ROS

Answer 9

Rash, inflammation, boils or red areas?

Question 10

GYN ROS

Answer 10

Vaginal bleeding/discharge, tampon use

Question 11

Sexual ROS

Answer 11

New partners, contraception

Question 12

PMHx

Answer 12

HIV, Tb, Cancer, Heart valve replacement, Organ transplants, blood transfusion, rheumatic fever, diabetes, hospital admissions, recent illnesses, childhood illnesses, surgeries

Question 13

FHx

Answer 13

Cancer, Tb, Immunosuppression, Familial Mediterranean Fever

Question 14

Medications

Answer 14

Immunosuppresants, malaria prophylaxis

Question 15

SHx

Answer 15

Travel (what did you eat, did you swim, insect bites), IV drug abuse, alcohol/tobacco, diet (unpasteurized milk, BBQs, river water), farm animals, foreign contacts, occupation, housing.