Page 341 - 2021 IDMT Digital
P. 341
FEVER OF UNKNOWN ORIGIN
Introduction:
• )HYHU oI 8QNQRZQ 2ULJLQ )82 LV IHYHU RYHU 1) RQ VHYHUDO RFFDVLRQV IRU DW OHDVW
ZHHNV
o OR no established diagnosis DIWHU EHLQJ KRVSLWDOL]HG IRU PRUH WKDQ GD\V RU
DIWHU RXWSDWLHQW YLVLWV
• 0RVW FDVHV UHSUHVHQW XQXVXDO PDQLIHVWDWLRQV RI FRPPRQ GLVHDVHV
Subjective:
• 6LJQV DQG 6\PSWRPV
o )HYHU RI > 101) RQ PXOWLSOH RFFDVLRQV DW OHDVW ZHHNV LQ GXUDWLRQ
• )RFXVHG +LVWRU\
o $JH IDPLO\ VRFLDO KLVWRU\
o ([SRVXUH RFFXSDWLRQDO GLHWDU\ DQG WUDYHO
o 5HFHQW KRVSLWDO VWD\V
Objective:
• 3K\VLFDO ([DP
o 2EVHUYH WKH SDWLHQW ZKLOH WKH WHPSHUDWXUH LV EHLQJ WDNHQ WR UXOH RXW IDFWLWLRXV
IHYHU
o 7DFK\FDUGLD FKLOOV SLORHUHFWLRQ
o &DUHIXO SK\VLFDO H[DP WR UHYHDO VXEWOH FOXHV
• 7RROV
o $OO SDWLHQWV ZLWK )82 VKRXOG KDYH D &;5
o 5RXWLQH ODEV LI DYDLODEOH &%& 8$ +,9
Assessment:
• 'LIIHUHQWLDO
o ,QIHFWLRQ RI FDVHV FKHVW [ UD\ &%& XULQH O\PSKDGHQRSDWK\ ORRN IRU
VRXUFH
o &DQFHU RI FDVHV O\PSKRPD DQG OHXNHPLDV SUHVHQW ZLWK IHYHU DQG ZLOO
VKRZ &%& DEQRUPDOLWLHV
o $XWRLPPXQH RI FDVHV ORQJ VWDQGLQJ DQG XVXDOO\ LQ ROGHU SDWLHQWV
Plan:
• 6WDUWLQJ DQWLELRWLFV RU FRUWLFRVWHURLGV ZLWKRXW D GLDJQRVLV PD\ GHOD\ WKH GLDJQRVLV DQG
PDVN V\PSWRPV
• (YDFXDWH WUDQVIHU RU DGPLW
o $Q\ SDWLHQW ZLWK )82 DQG SURJUHVVLYH ZHLJKW ORVV DQG FRQVWLWXWLRQDO V\PSWRPV
o $Q\ UDSLGO\ GHFOLQLQJ SDWLHQW WKDW QHHGV ZRUN XS
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