Fever: MR Suneil Ramnani Consultant in Emergency Medicine Princess Alexandra Hospital
Fever: MR Suneil Ramnani Consultant in Emergency Medicine Princess Alexandra Hospital
Fever: MR Suneil Ramnani Consultant in Emergency Medicine Princess Alexandra Hospital
MR SUNEIL RAMNANI
CONSULTANT IN EMERGENCY MEDICINE
PRINCESS ALEXANDRA HOSPITAL
OBJECTIVES
Define Fever
Discuss Causes
Assessment
Investigations
Management
Red Flags and Pitfalls
Summary
WHAT IS FEVER?
Hundreds!
Mostly caused by self limiting viral infections.
Infections are the most common cause (acutely!).
30-40%
Cause usually apparent in ED. (pneumonia, UTI
etc)
FUO/PUO (fever >38.3˚c documented on several
occasions during a period of more than 3 weeks
with uncertain diagnosis after 1 week of
evaluation in hospital).
FEVER OF UNKNOWN ORIGIN (FUO)
Systemic upset/symptoms
‘Unwell’
Abnormal vitals
Abnormal bloods/investigations (eg CRP,
WBC, lactate)
Immunocompromised
Admit/refer the above
FEVER - MANAGEMENT