Fever of unknown origin: Difference between revisions

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==Diagnosis==
==DDX==
 
#Infectious disease (22%)
 
##EBV
Infectious disease (22%)
##UTI
 
##Enterovirus
-EBV
##Lyme
 
##Cat-scratch
-UTI
##Osteomyelitis
 
##Psittacosis
-Enterovirus
##Rheumatic fever
 
##Crohn's
-Lyme
##Bacterial meningitis
 
#Autoimmune (6%)
-Cat-scratch
##JRA
 
##SLE
-Osteomyelitis
##PAN
 
#Malignancy (2%)
-Psittacosis
##Leukemia
 
##Lymphoma
-Rheumatic fever
#Drug-induced fever (2%)
 
#Factitious (2%)
-Crohn's
#No Etiology  (67%)
 
-Bacterial meningitis
 
 
Autoimmune (6%)
 
-JRA
 
-SLE
 
-PAN
 
 
Malignancy (2%)
 
-Leukemia
 
-Lymphoma
 
 
Drug-induced fever (2%)
 
Factitious (2%)
 
No Etiology  (67%)
 


==Workup==
==Workup==
===Phase 1===
#CBC
#ESR
#TB test
#MonoSpot
#CXR
#BCx
#ASLO
#ANA
#HIV


===Phase 2===
#LP
#BCx again
#Sinus/mastoid x-ray
#Ophtho exam for iridocyclits
#CMV, Toxo, Hep A/B, Tularemia, Brucellosis, Leptospirosis, Salmonellosis
#LFTs


Phase 1:
===Phase 3===
 
#Abd U/S
CBC
#Abd CT
 
#Gallium/Indium scanning
ESR
#UGI series c sbft
 
#Bone marrow
TB test
#Technetium bone scan
 
MonoSpot
 
CXR
 
BCx
 
ASLO
 
ANA
 
HIV
 
 
Phase 2:
 
LP
 
BCx again
 
Sinus/mastoid x-ray
 
Ophtho exam for iridocyclits
 
CMV, Toxo, Hep A/B, Tularemia, Brucellosis, Leptospirosis, Salmonellosis
 
LFTs
 
 
Phase 3:
 
Abd U/S
 
Abd CT
 
Gallium/Indium scanning
 
UGI series c sbft
 
Bone marrow
 
Technetium bone scan
 


==Source ==
==Source ==
7/2/09 PANI  
7/2/09 PANI  


[[Category:ID]]
[[Category:ID]]

Revision as of 17:51, 15 March 2011

DDX

  1. Infectious disease (22%)
    1. EBV
    2. UTI
    3. Enterovirus
    4. Lyme
    5. Cat-scratch
    6. Osteomyelitis
    7. Psittacosis
    8. Rheumatic fever
    9. Crohn's
    10. Bacterial meningitis
  2. Autoimmune (6%)
    1. JRA
    2. SLE
    3. PAN
  3. Malignancy (2%)
    1. Leukemia
    2. Lymphoma
  4. Drug-induced fever (2%)
  5. Factitious (2%)
  6. No Etiology (67%)

Workup

Phase 1

  1. CBC
  2. ESR
  3. TB test
  4. MonoSpot
  5. CXR
  6. BCx
  7. ASLO
  8. ANA
  9. HIV

Phase 2

  1. LP
  2. BCx again
  3. Sinus/mastoid x-ray
  4. Ophtho exam for iridocyclits
  5. CMV, Toxo, Hep A/B, Tularemia, Brucellosis, Leptospirosis, Salmonellosis
  6. LFTs

Phase 3

  1. Abd U/S
  2. Abd CT
  3. Gallium/Indium scanning
  4. UGI series c sbft
  5. Bone marrow
  6. Technetium bone scan

Source

7/2/09 PANI