PUO in a rural context Flashcards Preview

Jason's MD2 Surgery Rotation > PUO in a rural context > Flashcards

Flashcards in PUO in a rural context Deck (18):
1

Fevers causes more these days?

vasculitis
medication induced

2

PUO categories?

Infection
Inflammatory
Malignancy
Other

3

PUO infective causes, top 3?

TB
infective subacute endocarditis
intra-abdominal abscesses

HIV

4

endocarditis cause usually?

strep viridans

5

PUO classic inflammatory?

Vasculitis:
Autoimmune: Hashimotos
Granulomatis: sarcoid, crohn's
Still's Disease

6

PUO top malignancy?

Lymphoma

7

fevers from injury why?

necrotic tissue, releases inflammatory cytokines and cellular contents
crush injury
MIs

8

someone with fever in hospital, likely ddx?

Aspiration pneumonia
UTI-catheter
Line-sepsis
PE
post-surgical
wound infections
drug fever
opportunistic infections: PCP, CMV,

9

neutropenic patients worried about?

pseudomonal
fungal - cavitation

10

if abatoir exposure in rural setting, looks like flu, consider what?

Q-fever
Coxiella Burnetti
Psittacosis

11

leptospirosis from what?

cow urine

12

Gram +ve cocci

Staph Aureus
Strep?
Staph epidermidis

13

how long ABx for septic arthritis? endocarditis?

2 weeks IV, 4weeks oral

endocarditis: 4 weeks IV and no oral

14

why do you get hepatosplenomegaly?

something chronic
too many cells
congestion

15

pancytopaenia in a febrile person, think what?

lymphoma

16

causes of dark urine?

rhabdo
jaundice
haemolysis

17

Haptoglobin low means?

there's haemolysis

18

PUO old def'n?

PUO, lasting 2-3 weeks
unknown dx despite reasonable
Fever >38.3

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