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Hyperthermia, Fever, and FUO
Test 2 Sem 2
16
Medical
Graduate
01/29/2011

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Cards

Term
Heat loss percentages?
Definition
90% through skin and 10% through lungs
Term
What is Heat stroke characterized by? (2)
Definition
1) Temp >104F
2) neurologic dysfunction (delirium, seizures, coma)
Term
Who does classic heatstroke affect? Exertional?
Definition
1) Classic - elderly - most common
2) exertional - young active people
Term
skin changes associated with classical and exertional heat stroke?
Definition
classical - hot and dry
exertional - moist and clammy
Term
What is the most common etiology associated with neuroleptic malignant syndrome?
Definition
haloperidal
Term
What is a med that be used to treat neuroleptic syndrome and malignant hyperthermia of anesthesia?
Definition
Dantrolene
Term
According the the lecturer what symptoms is pathogonomic for moderate to severe serotonin syndrome?
Definition
ocular clonus
Term
What is malignant hyperthermia of anesthesia? (3)
Definition
1) involuntary muscle hyperactivity
2) genetic disorder
3) occurs w/halothane/depolarizing muscle relaxants
Term
What cytokines are responsible for fevers?
Definition
Il-1, IL-6, TNF, interferon gamma
Term
What are 3 benefits of fevers?
Definition
1) decrease serum iron levels
2) heat-senstive microbes
3) shift away from glucose
Term
antipyretics should always be used in what people? (4)
Definition
1) stroke pts
2) young
3) elderly/debilitated
4) pts with cardiopulmonary disease
Term
all persons with a temp of what should be treated?
Definition
>104F
Term
What are the 3 criteria for diagnosis of FUO?
Definition
1) Duration of at least 3 weeks
2) temp >100.9F
3) unable to determine origin after 1 week
Term
What type of localized infections are common with FUO?
Definition
abscesses-hepatic, subphrenic, pericholecystic
Term
What neoplasm is the most common cause of FUO?
Definition
Hodgkin disease
Term
What are the most common collagen vascular diseases in the elderly to cause FUO?
Definition
1) polymyalgia rheumatica
2) giant cell arteritis
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