The Clinical Problem Solvers Episode 368 – RLR – Fever and photophobia
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Dec 3, 2024 Delve into a riveting case featuring fever, photophobia, and diarrhea. The hosts humorously grapple with chaotic energy while unpacking the difference between fever and hyperthermia. They analyze a complex patient scenario, emphasizing the vital distinction between bacterial meningitis and encephalitis. Expect insights on rotavirus and its potential CNS complications. The blend of clinical reasoning and engaging discussion makes for an enlightening journey through intricate medical challenges.
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Fever vs. Hyperthermia
- Don't rush to diagnose a high temperature as fever; consider hyperthermia.
- Fever is an elevated hypothalamic set point due to inflammation, while hyperthermia is the inability to thermoregulate.
Causes of Elevated Heart Rate and Temperature
- Increased heart rate with high temperature suggests inflammation, but not always.
- Consider other causes, such as stimulants like cocaine or methamphetamine, that increase sympathetic tone.
Suspecting CNS Inflammation
- Fever, headache, and photophobia strongly suggest CNS inflammation.
- Consider meningitis or encephalitis, prioritizing bacterial meningitis in acute cases.