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Fever in the ICU (infective cause (Head (Meningitis, encephalopathy,…
Fever in the ICU
infective cause
Head
Meningitis, encephalopathy, abscess, vestibulitis due to drain, sinusitis common with an NG tube.
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chest
Breast, heart endocarditis, lung pneumonia, empyema, tracheitis brinchitis.atelectasia
GIT
esophagitis, cholecystitis
urinary
Urosepsis, is there an IDC
Skin
cellulitis and line infection, expose patient and look at lines,
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non-Infective cause
drug related
"drug fever" 5HT syndrome, NMsyndrome, malignant hypertermia
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vascular
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mesenteric ichaemia , PE, MI (dresslers), DVT,
vasculitis: SLE, polysrteritis nodosa
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investigations
Bloods: cultures, RBC, CRP, procalcitonin
bedside: urine, glucose, VBG, CXR
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sputum, send for Mc adn S, serology, viral PCR, cell count.