Fever of unknown origin: Difference between revisions
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{{Adult top}} [[fever of unknown origin (peds)]] | |||
==Background== | ==Background== | ||
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*No Etiology (67%) | *No Etiology (67%) | ||
== | ==Evaluation== | ||
===Workup=== | ===Workup=== | ||
====Phase 1==== | ====Phase 1==== | ||
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*TB test | *TB test | ||
*MonoSpot | *MonoSpot | ||
*CXR | *[[CXR]] | ||
*[[ | *[[blood culture]] | ||
*ASLO | *ASLO | ||
*ANA | *ANA | ||
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====Phase 2==== | ====Phase 2==== | ||
*[[LP]] | *[[LP]] | ||
*[[ | *[[blood culture]] again | ||
*Sinus/mastoid x-ray | *Sinus/mastoid x-ray | ||
*Ophtho exam for iridocyclits | *Ophtho exam for iridocyclits | ||
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*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 | ||
Latest revision as of 23:07, 28 November 2019
This page is for adult patients. For pediatric patients, see: fever of unknown origin (peds)
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