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FEVER (malignancy (renal cell carcinoma (presents w/ fever in ~20% cases),…
FEVER
malignancy
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hepatocellular carcinoma, liver mets
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infectious
bacterial
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other, more obscure, commonly w/ pulm component
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tick-borne
ehrlichiosis, anaplasmosis
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adapted from UpToDate, also a work in progress
HPI: consider travel history, animal exposure, immunosuppression, drug/toxin history, localizing symptomsTesting to consider if differential broad:
- ESR/CRP (if absent, inflamm process less likely but can't r/o
- serum LDH
- TB test, HIV immunoassay/viral load, BCx x3, any add'l infectious w/u
- RF, ANA (autoimmune)
- CPK (can be elevated in Dengue,
- heterophile ab test (children, young adults)
- SPEP
- CT abdomen, CT chest