Fever Syndromes

Temperature100.4°F or38°C

Diagnostic approach

  • Thorough history including ROS, PMH/PSH, immunizations, including from childhood
  • Fever curve (holding antipyretics); less likely to mount fever if: chronic renal or liver disease, extremes of age, protein calorie malnutrition, immunosuppression, steroid use
  • Exposures: travel, occupation or hobbies, animals and insects, sexual contacts, TB; consider age, geography, season and incubation time in relation to exposures
  • Physical exam: complete exam w/ focus on mucous membranes & conjunctiva; cardiac murmurs; liver and spleen size; skin, genitals, lymph nodes, & joints; complete neuro exam incl cranial