不明原因发热:门诊诊断热点

E. Jaqua, Stephen Graber, Nubia Leilane Schierling, V. Nguyen
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引用次数: 0

摘要

一名63岁的男子带着剧烈咳嗽、肌痛、疲劳和100.1至101华氏度的体温来到初级保健办公室,持续一周。他有房颤、高血压、良性前列腺肥大,三个月前胰腺部分切除术和脾切除术后有胰腺癌症病史,导致术后糖尿病失控。他正在服用胺碘酮、卡维地洛、氢氯噻嗪和二甲双胍。他否认最近做过任何其他手术、入院或与病人有过接触。
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Fever of Unknown Origin: A Hot Diagnosis in the Outpatient Setting
A 63-year-old man presents to the primary care office with a productive cough, myalgias, fatigue, and a temperature ranging from 100.1 to 101 F for a one-week duration. He has atrial fibrillation, hypertension, benign prostatic hypertrophy, and a history of pancreatic cancer status post partial pancreatectomy and splenectomy three months prior, resulting in uncontrolled, post-surgical diabetes. He is taking amiodarone, carvedilol, hydrochlorothiazide, and metformin. He denies any other recent procedures, hospital admissions, or sick contacts.
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