Fever
Associated findings
Jaundice
- Not always due to hepatitis or cholangitis, jaundice can be due to non-specific complication of bacteremia (reactive hepatopathy termed by osler)
Relative bradycardia
- Predicted HR = (Degree celcius X 10) – 320
- Clinical utility is quite limited
Dry skin
- Anhidrosis occurs late in heat stroke. The more sensitive finding is ABNORMAL mental status
Extreme hypothermia or hyperthermia
- Worse prognosis
- Extreme pyrexia often is due to GN bacteria infection/problems with temperature regulation eg heat stroke
Fever patterns
- Due to use of antipyretics, limited clinical utility EXCEPT
– Typhoid fever
– Malaria
– Dengue - Finding of unusually fever after antibiotics, consider
– other diagnosis eg malignancy OR
– resistant bacteria/wrong antibiotics/abscess
Reference
Steven McGee. Evidence Based Physical Diagnosis. Pg 174- 186