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RH J.J. Patel.

qxd 7/29/2008 12:06 PM Page 15

REAP HEAPS

 Viral Infection.
 Myco bacterium Tuberculi.
2. Collagen Disorders:
 Rheumatoid Arthritis
 S.L.E.
 P.A.N.
3. Auto Immune Disorders:
 Acute Rheumatic Fever
 Acute Glomerulonephritis
4. Inflammation:
 Burns
 Trauma
 Collagen Group
 Auto Immune
5. Miscellaneous:
 Thyrotoxicosis
 Heat Stroke
 Sun Stroke
 Malignancy
 Anxiety
 Alcohol Intoxication
 Dhatura Poisoning
 Atropine Overdoses

TYPES OF FEVER
1. Continuous Fever:
Elevation of the body
temperature more than normal
which do not fluctuates more
than 1 degree C or 2 degree F
during 24 hours.
E.G. Typhoid Fever, Infective
Endocarditis.
2. Remittent Fever:
Elevation of the body
temperature more than normal
which fluctuates more 2 degree F

An Approach to but does not touch the normal once


in 24 hours.
E.G. Viral Fever, Rabies.

a Case of Fever 3. Intermittent Fever:


Elevation of the body
temperature above normal which
touches normal at least once in 24
hours.
DEFINITION Temperature is > 1.5 degree F than E.G. Malarial Fevers.
Elevation of the external/internal external body temperature. 4. Periodical Relapsing Fevers:
body temperature beyond 98.6 Elevation of the body temperature
degreeF or 38.6 degree C. Internal more than normal and comes at
body temperature i.e. oral
AETIOLOGY periodical interval and lasts for
temperature > 1 degree F than 1. Microbes: few a days; between the two
external body temperature. Rectal  Bacterial Infection. episodes temperature is normal.

HOMEOBUZZ August 2008 15


RH J.J. Patel.qxd 7/29/2008 12:06 PM Page 16

REAP HEAPS

which fluctuates not more than 1 HEAT STROKE  Evening rise of temperature
degree C or 2 degree F during 24 Person starts getting symptoms and e.g. Tuberculosis, Filariasis.
hours. signs of shock due to exposure of 4. WITH RIGORS OR CHILLS:
E.G. Hodgkin’s Lymphomas. extreme heat. E.G. Exposure to furnace. E.g. Malaria, Urinary Tract
5. P.U.O. (Pyrexia of Unknown Infection, Filarial Infection.
Origin): 5. SPECIFIC ASSOCIATED
When fever is investigated
SUN STROKE SYMPTOMS:
thoroughly but causes of fever is Person starts getting symptoms and  Urinary in U.T.I.
still unknown, signs of shock due to exposure of  Cough in U.R.T.I.
then it is extreme heat of sun. E.g. Exposure to  Vomiting and Loose motion
called P.U.O. heat of sun in summer. in Gestro-Entritis.
There is no  Convulsions in Hyperpyrexia
fixed pattern and Meningitis.
of
QUESTIONS TO BE ASKED
presentation 1. SINCE WHEN? (DURATION): 6. ASSOCIATED COMPLAINTS:
of the fever. A. Short – Viral, Bacterial  Headache, Bodyache,
E.G. B. Long – e.g. Tuberculosis Nausea, Vomitting.
Collagen C. Very Long – Occult  Leg cramps and loss of
Disorders, Malignancy Appetite.
Malignancy, Auto Immune 2. HOW SEVERE? (ELEVATION): ROUTINE INVESTIGATIONS:
Disorders. - Very High: e.g. Bacterial, (Depends upon Clinical
Viral, Septicemic. Findings.)
- Low Grade: e.g. Tuberculosis, 1. Total Count: Increase in Bacterial
HYPERPYREXIA Auto Immune, Collagen Infection and Decrease in Viral
It is a condition of elevated body Disease Infection.
temperature (more than 105 degree F) 3. TEMPERATURE DURING DAY 2. Peripheral Smear for M.P., Widal
whereby the brain function starts AND NIGHT FOR TYPES OF Test
deteriorating and the person FEVER: 3. X Ray Chest, Urine- Routine Test.
develops delirium, convulsions and
sometimes coma. Examples: Dr. J. J. Patel
 Continuous M. D. (Bom.), M.C.P.S. (Bom.),
A.F.I.C.A. (U.S.A.).
Examples:  Intermittent
(Specialist in Cardiology, Diabetes &
 P. Falciparum Infection  Remittent Rheumatic Diseases)
 Bacterial Infections  Relapsing Fever
 Heat Stroke
 Sun Stroke
 Tetanus

HYPOTHERMIA
Hey Students!!
It is the decrease in
temperature below 95 degree F at
body
HB plans to start a new column
which the foundation of vital organs “By the Students” in few months.
and brain starts deteriorating.
This section will have articles written
Examples: by the students persuing BHMS. The
 Fever Peripheral Shock best selected articles will be published
 Myxoedema Shock
 Sever Dehydration
in the magazine and awarded as well.
 Ice cold water bath Send in your suggestions and articles.
 Very high Altitude.
 Excess of anti Pyretics.

16 HOMEOBUZZ August 2008

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