Davao medical school foundation, inc.

– College of medicine
Department of Internal Medicine
Name:
Batch/Section: Date:

Fever

INSTRUCTIONS:
 Use Harrison’s Principles of Internal Medicine 20th edition, Bate’s Guide to Physical Examination and History Taking, or Clinical Practice Guidelines as your reference in answering this activity. You may
also use the official textbooks used by other departments.
 Indicate the name of the book, chapter and page number in the reference column.

Key Terminologies Definition Reference (Source, page no.)

Fever 
Hyperpyrexia 
Hyperthermia 
Fever of Unknown Origin (FUO) 
Chills 
Night sweats 
Continuous fever 
Intermittent fever 
Remittent fever 
Relapsing fever 
Pel-Ebstein fever 
Febrile neutropenia 

Differential Diagnosis Diseases (give at least 5 diagnosis that may present as Associated major signs or symptoms distinctive of this disease
fever)
Infectious
Bacterial

Viral

Prepared by: M. platero, rn, md, fpcp 1

 Davao medical school foundation, inc. – College of medicine
Department of Internal Medicine

Parasitic

Fungal

Malignancy

Non-infectious Rheumatologic/Autoimmune

Other conditions not related to

malignancy/rheumatologic/autoimmun
e diseases

Symptomatology What condition(s) will you think about?

High fever (>40 C)
Fever and rash
Fever + changes in mental status and level of
sensorium
Fever + recent chemotherapy
Fever + known malignancy

Prepared by: M. platero, rn, md, fpcp 2

 Davao medical school foundation, inc. – College of medicine
Department of Internal Medicine
Fever + shortness breath and pleuritic chest pain
Fever + recent surgical procedure
Fever + weight loss
Fever + bone pain
Fever + arthritis or rash
Fever + family history of vasculitis or inflammatory
disorders
Fever + sick contacts
Fever + recently been in the hospital
Fever + recent travel
Fever more than 3 weeks
Fever + dry cough, nasal congestion, sinus pain, or
sore throat
Fever + redness on a particular site of the body
Fever + blood in the sputum
Fever + dysuria
Fever + chest pain
Fever + blood in the urine
Fever + nausea or vomiting
Fever + diarrhea
Fever + abdominal pain
Fever + yellowing of the skin
Fever + chills
Fever + night sweats, weight loss, or malaise?
Fever + joint stiffness or pain
Fever + headache
Fever + easy bruising or gum bleeding
Fever + confusion
Fever + recent dental procedures
Fever + initiation of new medications
Fever + recent unprotected sexual intercourse
Fever + recent heart valve surgery

Case: A 45-year-old female came to your clinic due to fever. She was apparently well until 3 days ago when she developed fever with temperature ranging from 37.8 to 39 C C, this was associated with body
malaise , joint pains and sore throat. Patient self medicated with Biogesic 1 tab every 4 hours which afforded temporary relief. 1 days prior to consultation patient had dry cough with itchiness of the throat
as well. Patient took 1 tab of Xyzal . Fever however persisted hence the patient decided to seek consultation . She has hypertension diagnosed in 2020 on Adalat Gitts 1 tab once a day with good compliance

Prepared by: M. platero, rn, md, fpcp 3

 Davao medical school foundation, inc. – College of medicine
Department of Internal Medicine

Justify your answer. (answer in sentence format)

Give FIVE DIFFERENTIAL DIAGNOSES and justify why you considered such diagnoses.
STATE YOUR ANSWERS IN SENTENCE FORM WHEN STATING YOUR JUSTIFICATIONS IN RULING-IN AND RULING-OUT.
FIVE DIFFERENTIAL DIAGNOSES RULE – IN RULE – OUT
1 (answer in sentence format) (answer in sentence format)
2
3
4
5

Make an algorithm on how you approached the chief complaint of this patient to arrive in your diagnosis. Include 5 differential diagnoses in the algorithm. See sample below.

Prepared by: M. platero, rn, md, fpcp 4

 Davao medical school foundation, inc. – College of medicine
Department of Internal Medicine

To maintain the organization of the diagrams, you may follow one of these options:
 save the document as PDF file (recommended);
 write it in a clean white sheet of paper(s), take a picture, then paste it here in the document;
 do a screen shot of your output, paste it back in this document, then crop as needed

BOOK-BASED DISCUSSION based on the primary (main) problem of the patient

REFERENCE
Instructions: Answers should be in bullet format, and the inputs should be the main points or key words only
(Source, page no.)
Etiology  (key words or points only)
Epidemiology
 (key words or points only)
(worldwide)
Epidemiology
 (key words or points only)
(Philippines)
Epidemiology (India
or in your country of  (key words or points only)
origin)

Prepared by: M. platero, rn, md, fpcp 5

 Davao medical school foundation, inc. – College of medicine
Department of Internal Medicine
Non-modifiable risk
factors OR  (key words or points only)
predisposing factors
Modifiable risk
factors OR  (key words or points only)
precipitating factors
Pathophysiology  (key words or points only)
History  (key words or points only)
PE Findings  (key words or points only)
Diagnostic tests to
request and its
 (key words or points only)
expected findings or
results
Mechanism of Action Dosage, Route, &
Drug Drug Classification Common Side Effects
(Brief description) Frequency
1. (key words or points only)
Medical treatment 2.
(include the drug
3.
classification,
4.
mechanism of
5.
action, dosage,
6.
route, and
7.
frequency)
8.
9.
10.
Surgical treatment  (key words or points only)
Nonpharmacological
 (key words or points only)
treatment
Complications Management (Brief discussion)
1.  (key words or points only)
2. 
Complications
3. 
4. 
5. 
Prevention  (key words or points only)
Prognosis or
 (key words or points only)
outcome

Prepared by: M. platero, rn, md, fpcp 6

 Davao medical school foundation, inc. – College of medicine
Department of Internal Medicine

Prepared by: M. platero, rn, md, fpcp 7