Health Questions and Answers

Archive for the 'Fever' Category

Answer: What about antibiotics? Should everyone with a fever get antibiotics?

Monday, September 1st, 2008

Answer:
Absolutely not. Antibiotic use should be based on the patient’s specific presentation and diagnosis after a thorough history and physical examination and directed laboratory and ancillary tests. Most clinicians advocate giving appropriate antibiotics immediately to any patient who appears toxic or has suspected bacterial meningitis, without delaying for cultures. Other patients who should be considered [...]

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Question: What is an FUO?

Sunday, August 31st, 2008

Answer:
No, not an UFO, an FUO. FUO, or fever of unknown origin, is defined as a fever greater than 38.3°C (100.9°F), documented on several occasions during a period longer than 3 weeks, with an uncertain diagnosis after l week of evaluation in the hospital. If the patient presents for an initial evaluation of a fever, [...]

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Question: Are there causes of fever other than infection?

Saturday, August 30th, 2008

Answer:
Yes. Although infections are definitely the most common causes of fever, there are numerous other causes. Neoplastic diseases (e.g., leukemia, lymphoma, solid tumors) and collagen vascular diseases (e.g., giant cell arteritis, polyarteritis nodosa, systemic lupus erythematosus, rheumatoid arthritis) are the second and third most common causes of fever. Other causes include central nervous system lesions [...]

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Question: Does the magnitude of the temperature indicate the severity of the illness?

Wednesday, August 6th, 2008

Answer:
No, there is no pathognomonic degree of fever that has been clearly associated with a specific risk of infection in patients, although before the widespread use of the Haemophilus influenzae vaccine, temperatures greater than 41.1°C were associated with a higher incidence of serious bacterial illness. In pediatrics medical decision making, the temperature should be used [...]

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Question: What about subjective fevers? Can mothers accurately judge whether their child has a fever without using a thermometer?

Tuesday, August 5th, 2008

Answer:
Trust mothers–they know. Depending on the study, mothers are accurate in assessing the presence or absence of a fever 50% to 80% of the time. They seem to be more accurate at detecting when the child is febrile than they are at determining that the child is afebrile. Most pediatricians believe that fevers reported by [...]

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Question: Does it matter which method I use to take a temperature?

Sunday, August 3rd, 2008

Answer:
Yes. Rectal temperatures are the most accurate representation of core temperatures. Oral, axillary, and tympanic temperatures have considerable variation, and these methods are frequency used and often inaccurate. There is not a correction factor for these alternate modalities to provide a reliable assessment of the core temperature.
Reference: Loveys AA, Dutko-Fioravanti 1, Everly SW, et al: [...]

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Question: What temperature constitutes a fever?

Saturday, August 2nd, 2008

Answer:
We all wish we only had to remember one number; however, it varies depending on the patient:
1. In infants, 38°C (100.4°F) rectally constitutes a fever.
2. In adults, a temperature of 38.3°C (100.9°F) is a fever.
3. Certain patient populations may be exceptions, and this should be taken into account (e.g., elderly, IV drug users, and immunocompromised [...]

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