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Fever Of Unknown Origin : Approach to Management

Fever Of Unknown Origin : Approach to Management

Definition
The term fever of unknown origin (FUO) is best reserved for children with a fever documented by a health care provider and for which the cause could not be identified after 3 wk of evaluation as an outpatient or after 1 wk of evaluation in hospital.
Nelson Text Book 18thEdition
Ergönül O, Willke A, Azap A, et al. Revised definition of ‘fever of …

Management of Rapidly Progressive Glomerulonephritis or RPGN

Management of Rapidly Progressive Glomerulonephritis or RPGN

Rapidly progressive is characterized by the histopathologic finding of crescents in the majority of glomeruli. The natural history in most forms is rapid progression to end-stage renal failure.
It is characterized by rapid deterioration of renal functions over days to weeks.
MANAGEMENT of RPGN-
We have elaborated “The regimen used by the Glomerular Disease Collaborative Network at the University of North Carolina at …

Approach to a Child with Chronic cough : ACCP guidelines

Approach to a Child with Chronic cough : ACCP guidelines

Cough is one of the most common presenting complain in children at Out-patient. Cough may be just a benign protective phenomenon , but at times it become troublesome . Cause of Cough Should be sought for even outside the respiratory system, like ears,abdomen etc.
CHRONIC COUGH
Cough  lasting for 4 weeks or more -CHEST January 2006
1.Inflammatory disorder of airway
Asthma & Loeffler’s syndrome, Tropical …

Auscultatory gap in hypertension

Auscultatory gap in hypertension

Sometimes during manual blood pressure measurement by auscultatory method, after a few initial tapping sounds, no sound is heard for a variable duration and then the sounds are heard again. This period when no sound is heard is called as auscultatory gap.
Korotkoff sounds:
When the cuff pressure is great enough to close the artery during part of the arterial pressure cycle, …

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