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Aug 14, 2023 · Constellation of patient-reported symptoms should help providers narrow down the etiology of the etiologic category of fevers as each of these has clinical hallmarks. For example, if a patient presents with B-symptoms, early satiety, and significant weight loss, the provider should pursue a malignancy workup.
- Ilona Brown, Nancy A. Finnigan
- 2023/08/14
- 2021
Etiology |. Evaluation |. Treatment |. Geriatrics Essentials |. Key Points. Fever is an elevated body temperature that occurs when the body's thermostat (located in the hypothalamus) resets at a higher temperature, primarily in response to an infection.
- Larry M. Bush
In Brief. Fever is a common clinical sign encountered in hospitalized patients and often represents the cardinal sign of infectious processes. However, a number of noninfectious etiologies causing fever should be considered prior to initiating broad-spectrum antibiotic therapy.
Initial testing should include an evaluation for infectious etiologies, malignancies, inflammatory diseases, and miscellaneous causes such as venous thromboembolism and thyroiditis.
Fever with a temperature higher than 38.3°C on several occasions that lasts for at least 3 weeks and lacks a clear diagnosis after 1 week of study in the hospital is called a fever of unknown...
Sep 4, 2023 · Patients with fever usually exhibit warm, flushed skin, tachycardia, involuntary muscular contractions or rigors, and sweating or night sweats. Piloerection and positioning of the body to minimize exposed surface area are also seen.
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Aug 17, 2023 · So if the question is, "should the fever be treated in all the patients?" A fever >40 C is associated with increased mortality in patients without evidence of infection and should be controlled aggressively. Moderate fever (37.5 to 38.4 C) was associated with decreased mortality in septic patients. A meta-analysis showed that antipyretics do ...
