So you have determined that your patient meets criteria for a fever of unknown origin (FUO). How? See Part 1 of this post. Now how do you further work up FUO and rule out a broad list of differentials? What about antipyretic, anti-inflammatory or antibiotic management in the interim? Let's dive in. Recall the "intelligent" … Continue reading How do you work-up FUO?
Category: General Medicine
You are evaluating a 55-year-old male with significant past medical history of non-insulin diabetes, recently treated Lyme disease, and immigrant from India 25 years prior who is presenting with a 2-week duration of persistent fevers, chills, malaise and myalgias. After a week inpatient with an overall negative microbiology and rheumatologic work-up, his fevers are persistent … Continue reading How do you define FUO?
A 70-year old female presents to the ED for evaluation of left hip pain after a mechanical fall. X-ray shows a nondisplaced femoral neck fracture. After bedside evaluation, the Orthopedic team would like to plan for surgical correction with open reduction internal fixation (ORIF). Her past medical history is significant for CAD s/p 3-vessel CABG … Continue reading How do you evaluate patients before surgery?
The time has come. We have exhausted our resources. We have given our very best effort. We have decided that it is in our patient’s best interests to pursue the path of comfort rather than continued intervention. We are now faced with the question that many of us are undertrained and uncomfortable to answer: how … Continue reading How can we help our dying patients?