A21-year-old patient admitted to the hospital for persistent spiking fever every day for 12 days. His past medical history is unremarkable. He presented previously to different clinics and multiple time to the emergency department with no clear etiology for this fever. Temperature is 38.7C, blood pressure is 125/72 mmHg, pulse is 105 bpm, respiratory rate is 21 bpm, and oxygen saturation is 98% on room air. Physical examination is normal. What is your best next step?
سؤال مجاني 2 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. Repeat basic investigations, re-take clinical history, re-examine the patient and do adequate imaging depending on clinical findings.
For a persistent fever with no diagnostic clues, the approach is to go back to basics: retake the history, re-examine, and repeat the basic panel (CBC, ESR/CRP, LFT/RFT, serial blood cultures, urine culture, PPD, CXR). Imaging such as chest/abdominal CT follows if those are unrevealing. PET-CT, autoimmune panels and bone marrow aspiration (B–E) are later, targeted steps, not the next step.
ليش كل خيار صح أو غلط
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A
ليش صح
With no diagnostic clues, go back to basics: repeat the basic panel (CBC, ESR/CRP, LFT/RFT, serial blood cultures, urine, PPD, CXR) and re-examine; then do abdominal and chest CT if those show nothing.
✓ Inefctious Diseases 🦠.pdf · p. 16 -
B
ليش غلط
PET-CT is not part of the first approach. The lecture's sequence is the basic tests, then abdominal and chest CT if they show nothing.
✓ Inefctious Diseases 🦠.pdf · p. 16 -
C
ليش غلط
Autoimmune disease is one category of PUO causes, but with no diagnostic clues the lecture starts with the basic panel (CBC, ESR/CRP, LFT/RFT, cultures, PPD, CXR), not targeted autoimmune studies.
✓ Inefctious Diseases 🦠.pdf · p. 16 -
D
ليش غلط
Repeating the basics is right, but a bone marrow aspirate is not part of the lecture's stepwise approach; the next step after the basics is abdominal and chest CT.
✓ Inefctious Diseases 🦠.pdf · p. 16 -
E
ليش غلط
A bone marrow aspirate alone skips the basic panel; the lecture starts with the basic tests and moves to abdominal and chest CT if they are unrevealing.
✓ Inefctious Diseases 🦠.pdf · p. 16
- المصدر
- Inefctious Diseases 🦠.pdf · p. 16
- المحاضرة
- Pyrexia of Unknown Origin · Infectious Diseases · Module B
- ظهر في
- ID bank · MED41 ♂ EOM B · MED41 ♀ EOM B