TAILIEUCHUNG - Medicine in critical care (Fifth edition): Part 2

(BQ) Continued part 1, part 2 of the document Medicine in critical care (Fifth edition) has contents: Infectious disease, cardiovascular disease and dysfunction, respiratory disorders, neurologic disease and dysfunction, gastrointestinal disease and dysfunction, renal disease and dysfunction, and other contents. Invite you to refer. | SECTION 9 INFECTIOUS DISEASE CHAPTER 82 The Febrile Patient PAUL E. MARIK INTRODUCTION Fever is a common problem in the intensive care unit ICU . A prospective observational study in a general ICU reported fever core temperature over C in 70 of patients caused equally by infective and noninfective processes 1 . In a large retrospective cohort study 24 204 ICU admissions Laupland et al. 2 reported that 44 of patients experienced a temperature higher than C during their ICU stay 17 of these patients had positive cultures. The discovery of fever in an ICU patient has significant impact on health care costs as blood cultures radiologic imaging and antibiotics routinely follow. It is therefore important to have a good understanding of the mechanisms and etiology of fever in ICU patients how and when to initiate a diagnostic workup and when initiation of antibiotics is indicated. The Society of Critical Care Medicine and the Infectious Disease Society of America considers a temperature of C or greater 101 F a fever in an ICU patient which warrants further evaluation 3 . This does not necessarily imply that a temperature below C 101 F does not require further investigation as many variables determine a patient s febrile response to an insult. In addition it should be recognized that there is a daily fluctuation of temperature by to C with women having wider variations in temperature than men. Furthermore with aging the maximal febrile response decreases by about C per decade. Accurate and reproducible measurement of body temperature is important in detecting disease and in monitoring patients with an elevated temperature. A variety of methods are used to measure body temperature combining different sites instruments and techniques 4 5 . Infrared ear thermometry has been demonstrated to provide values that are a few tenths of a degree below the temperature in the pulmonary artery and brain. Rectal temperatures obtained with a mercury .

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• Infectious disease
• Cardiovascular disease
• Critical care
• Renal disease
• Gastrointestinal disease
• Respiratory disorders
• Field assessment of the efficacy
• LIBDV and Winterfield 2512
• Vaccines against infectious bursal disease
• Infectious bursal disease in chickens
• Immunological efficacy than LIBDV
• Infectious bursal disease
• B lymphocyte
• Review infectious bursal disease
• Major concern in poultry
• Decrease response to vaccination
• Synthetic peptide
• Evaluation of synthetic antigenic peptides
• Diagnosis of infectious bursal disease
• Non vaccinated birds
• BMC Genomics
• Infectious bursal disease virus
• Bursa of Fabricius
• Lethal infectious disease
• JAK STAT signaling pathway
• Immunology
• epidemics
• infectious agents
• the immune system
• biomedicine
• Harrisons infectious disease
• Introduction to infectious diseases
• Fever and approach to the febrile patient
• Infections in organ systems
• Bacterial infections
• risk management
• Harmonised assessment
• epidemic infectious
• intestinal disease
• Disease surveillance
• waterborne outbreaks
• BMC Veterinary Research
• Gumboro disease
• Antigenic regions
• IBD virus
• Pathology of infectious diseases
• Principles of infectious disease pathology
• Herpes virus infections
• Viral hepatitis
• Human papillomavirus
• Respiratory virus infections
• Disease prevalence
• Desi birds
• Retrospective study
• Prevalence of infectious diseases
• Infectious diseases in Desi fowls
• Division of labor
• Functional differentiation
• Ambiguity of genes
• Infectious diseases associated
• Infectious disease expert consult
• The neonatologist
• Ccurrent issues in the pathogenesis
• Treatment of neonatal thrombocytopenia
• Nonhematopoietic effects of erythropoietin
• Coagulation disorders
• Considerations on vaccine mediated prevention
• Breast milk
• Viral infection
• Emerging issues and controversies
• Neonatal fungal infections
• Broiler chickens
• Broiler chickens in Haryana
• Retrospective study on epidemiology
• IBD outbreaks
• BMC Pediatrics
• Associated messaging applications
• Paediatric infectious disease
• Paediatric emergency department
• Including impetigo
• Capture myopathy
• Wild animals
• Important non infectious disease
• Dark red colored urine
• Hind limb affected commonly
• BMC Bioinformatics
• Certain infectious diseases
• Disease prediction
• Highly pathogenic avian influenza
• Infectious disease outbreaks
• Gallus gallus
• RNA sequencing
• De novo
• Immunosuppression in chickens
• Knowledge translation
• Swine infectious disease
• Research synthesis
• Evidence based medicine
• Information sources
• BMC Public Health
• Double burden of disease
• Social determinants of health
• Noncommunicable disease
• Urban penalty
• Infectious Diseases
• Health Outcomes
• Causal Relationship
• Gulf War
• Respiratory Disease
• Meningococcal Disease
• Viral infections
• prion diseases
• Fungal and algal infections
• Protozoal and helminthic infections
• Laboratory values of clinical importance
• Corruption
• non fatal communicable disease
• equilibria
• stability
• feedback control
• Lyapunov
• disease transmission
• saturability
• Age Structure
• Rheumatology
• Pulmonary Disease
• Metabolic Disease
• Gastroenterology
• General Medicine