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Approach to Fever

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Sep 27, 2021
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INSIGHT

Broad Causes of Fever

  • Fever causes extend beyond infections to include rheumatologic, malignant, and drug-related reasons.
  • Recognizing these broad causes helps avoid premature focus solely on infectious sources.
ADVICE

Framework for Fever Diagnosis

  • Use a structured approach asking: who is the host, what exposures exist, what is the syndrome, and what doesn't fit.
  • This framework simplifies the diagnostic process for fevers of unclear cause.
ADVICE

Know Your Patient Host

  • Assess patient age, immune status, anatomic risk factors, and infection history when defining the host.
  • These factors guide infection risk assessment and shape diagnostic priorities.
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