Diferencia entre revisiones de «Fever of unknown origin»
(Text replacement - "BCx" to "blood culture") |
(Text replacement - " c " to " with ") |
||
| Línea 53: | Línea 53: | ||
*Abd CT | *Abd CT | ||
*Gallium/Indium scanning | *Gallium/Indium scanning | ||
*UGI series | *UGI series with sbft | ||
*Bone marrow | *Bone marrow | ||
*Technetium bone scan | *Technetium bone scan | ||
Revisión del 21:11 24 ago 2016
Background
Clinical Features
Differential Diagnosis
- Infectious disease (22%)
- EBV
- UTI
- Enterovirus
- Lyme
- Cat-scratch disease
- Osteomyelitis
- Psittacosis
- Rheumatic fever
- Crohn's
- Bacterial meningitis
- Autoimmune (6%)
- JRA
- SLE
- PAN
- Malignancy (2%)
- Leukemia
- Lymphoma
- Drug-induced fever (2%)
- Factitious (2%)
- No Etiology (67%)
Evaluation
Workup
Phase 1
- CBC
- ESR
- TB test
- MonoSpot
- CXR
- blood culture
- ASLO
- ANA
- HIV
Phase 2
- LP
- blood culture again
- Sinus/mastoid x-ray
- Ophtho exam for iridocyclits
- CMV, Toxo, Hep A/B, Tularemia, Brucellosis, Leptospirosis, Salmonellosis
- LFTs
Phase 3
- Abd ultrasound
- Abd CT
- Gallium/Indium scanning
- UGI series with sbft
- Bone marrow
- Technetium bone scan