Fever of unknown origin: Difference between revisions
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== | ==Background== | ||
==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%) | |||
==Workup== | ==Workup== | ||
===Phase 1=== | ===Phase 1=== | ||
*CBC | |||
*ESR | |||
*TB test | |||
*MonoSpot | |||
*CXR | |||
*[[BCx]] | |||
*ASLO | |||
*ANA | |||
*[[HIV]] | |||
===Phase 2=== | ===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=== | ===Phase 3=== | ||
*Abd ultrasound | |||
*Abd CT | |||
*Gallium/Indium scanning | |||
*UGI series c sbft | |||
*Bone marrow | |||
*Technetium bone scan | |||
==See Also== | ==See Also== | ||
Revision as of 13:45, 22 February 2015
Background
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%)
Workup
Phase 1
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 ultrasound
- Abd CT
- Gallium/Indium scanning
- UGI series c sbft
- Bone marrow
- Technetium bone scan