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Fever (Chronic (duration, grade, constant) (Risk factors &…

- - - - CTD
        
        SLE
        Rheumatoid Arthritis
        Interstitial lung disease
        Sjogren syndrome
        Systemic sclerosis etc. etc.
    - - malignancy adult
        
        anemia, splenomegaly, thrombocytopenia, (abl:bcr on 9:22)Philadelphia chromosome
        
        Lymphoma, especially non-Hodgkin's
        Leukemia (CML)
        
        Philadelphia chromosome
        Renal cell carcinoma
        Hepatocellular carcinoma
        Other tumors metastatic to the liver
      - malignancy children
        
        Fever
        Malaise
        Bone pain
        Weight loss
        
        Leukemia
        
        Fever
        Enlarged lymph nodes
        
        Lymphomas
- - - - Fever
        Headache
        Malaise
        Anemia
        Splenomegaly
        
        Malaria
        
        p.Falciparum
        p.Vivax
        p.Ovale
        p.Malariae
      - Fever
        Malaise
        Sore throat
        Headache
        Lymphadenopathy
        Myalgias
        Diarrhea
        Night sweats
        Rash
        
        HIV
        
        HIV serology (HIVp24 antigen & antibody) (1-2 months)
        Viral load (1-2 weeks)
        CD4 count
      - Fever
        Chronic Cough
        Hemoptysis
        Weight loss
        
        TB
        
        Acid fast bacilli
        Tuberculin test
        Interferon test
        Nucleic acid amplification
    - - Fever
        Headache
        Myalgia
        Dry cough
        
        influenza
        
        Rapid Flu test
        CXR
      - Neck, Seizures, LOC
        
        Meningitis/Encephalitis
        
        Spinal tap
        CT head
      - Ear ache
        
        Otitis Media
        
        TM
      - Sore throat
        
        Pharyngitis
        
        Pharynx
        +LN
        Rapid strep
        Throat culture
        Imaging
      - Drooling
        
        REDPIL
      - Pressure
        
        Sinusitis
        
        Face tenderness
    - - Cough + Phlegm
        
        Pneumonia
        
        Crackles
        Consolidation
        CXR
      - Chest pain
        
        Endocarditis
        Myocarditis
        
        Murmur, Echo, blood Cx
    - - male
        
        prostatitis
        
        Prostate tenderness
        PSA
        Urine Cx
      - female
        
        PID
        
        Pelvic tenderness
        Vaginal Cx
        
        TSS
        
        Rash, tampon
    - - Osteomyelitis
    - - Septic arthritis
        
        joint fluid
    - - Spinal abscess
        
        Bone tenderness
        Decreased ROM
        
        MRI , bone scan
    - - Diarrhea
        
        Gastroenteritis
        
        N/V
        Generalized
        Tenderness
        Stool Cx
      - RUQ pain
        
        Cholecystitis
        
        Murphy, U/S
        
        Jaundice
        
        Cholangitis
      - Dysuria + Flank pain
        
        Pyelonephritis
        
        Flank tenderness
        CT
      - RLQ pain
        
        Appendicitis
        
        Mcburney. CT
    - - Hypersensitivity Reactions IgE mediated*
        
        Muco-cutaneous lesion, Bullo
        
        SJS
        
        Vasculitis rash, palpable purpura,
        target lesions
        
        Hypersensitivity Vasculitis
        
        Morbilliform rash,
        eosinophilia*
        
        DRESS
      - Antibiotics after Syphilis etc.
        
        Jarisch Herxheimer Reaction
      - Succinylcholine
        
        Malignant hyperthermia
      - Haldol
        
        Neuroleptic Malignant syndrome