Paul Young’s SMACC talk on ‘Fever, friend or Foe?’ got some of the most positive feedback ever seen on a speaker’s report card. This is his post on the subject of fever in the critically ill, along with the audio and the slides from SMACC.
Questions 9. A 56-year-old male, with a previous splenectomy, presents with an altered mental state but a stable cardiorespiratory status. He is pyrexial with a temperature of 38.4C. Blood cultures taken on admission show gram-positive cocci in both bottles.a) What is the likely diagnosis and what other specific investigations would you order?b) Outline your specific […]
Questions A 33 year old female presented with high fever and abdominal pain. She has Gram negative bacteraemia and septic shock. The following is data from a blood gas analysis: 24.1. List the acid-base abnormalities. 24.2. What are the causes of elevated plasma lactate in sepsis? 24.3. Name three (3) drugs (each from a different […]