Fever

November 9, 2017 by appleuser0
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WHAT IS FEVER?

Fever is a state of health where the body temperature is higher than normal. An increase in body
temperature is an indication that your body is fighting infection and it is usually not a course for
concern.

Fever is also known as pyrexia (high fever or temperature). Fever temperature may vary depending
on the condition and environment where temperature is measured.
 Rectal temperature above 100.4 degrees Fahrenheit ( 38 degrees Celsius)
 Oral temperature above 100 degree Fahrenheit (37.8 degrees Celsius)
 Axillary (armpit) temperature above 99 degree Fahrenheit (37.2 degrees Celsius)
 Ear (tympanic membrane) temperature above 100.4 degree Fahrenheit (38 degrees Celsius)
 Forehead (temporal artery) temperature above 100.4 degree Fahrenheit (38 degrees
Celsius).

TYPES OF FEVER

The nature and type of fever should be considered as there are varying types which could be
interchanged.
Continuous fever
Fever is said to be continuous when the temperature does not fluctuate above 1 degree
Celsius in 24 hours period. This fever is normally associated with lobar pneumonia, typhoid,
urinary tract infection (UTI) and endocarditis.
 Remittent fever

In remittent fever, during the day the temperature remains normal but fluctuates more than
2 degree Celsius in 24 hours. It’s most common with patients with typhoid infection and
infective endocarditis.
intermittent fever
The temperature fluctuates only for some hours in a day and returns to normal for the
remaining hours of the day. Daily occurrence is usually quotidian, it is tertian in alternative
days and for every third day it is quatrain. Intermittent fever is seen in malaria, septicemia,
pyemia etc.
Hectic or septic fever
Here, the temperature variation is very wide and it’s more than 5 degree Celsius. It is seen in
septicemia.

WHAT ARE THE SYMPTOMS OF FEVER?
The signs and symptoms of fever may include:
 Shivering
 Lack of appetite
 Feeling cold when nobody else does
 Dehydration
 Sweating
 Sleeplessness
 Lethargy
 Depression
And in high cases there may be serious irritability, confusion and seizures.

WHAT ARE THE CAUSES OF FEVER?
Various factors could cause fever, these are:
 Infection
 Rheumatoid arthrities
 Some medications
 Alcohol withdrawal
 Silicosis
 Amphitamine abuse
 Over exposure of skin to sunlight (sunburn).

DIAGNOSIS AND TREATMENTS OF FEVER
Fever diagnosis is direct; it involves measuring the patient’s temperature at a state of rest. High
reading is an indication of fever.

The following signs should be looked out for during diagnosis.

1. Mouth temperature over 37.7 degree Celsius
2. If rectum (anus) temperature is over 37.5-38.3 degree Celsius.
3. Then if temperature under the arm is above 37.2 degree Celsius.

Tylenol (paracetamol) a non-steroidal anti-inflammatory drugs or ibuprofen can help return body
temperature to normal. It’s noteworthy that a mild fever may be helping to fight bacterium or viral
infection; therefore, it may not be ideal reducing the body's temperature. In the case of bacterial
infection, an antibiotic is prescribed by the doctor.

For fever caused by cold, non-steroidal anti-inflammatory drugs may be used to relieve
uncomfortable symptoms.

The patients are also advised to take lots of water to prevent dehydration.

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