Emergency medicine clinics of North America
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Environmental exposure to high temperatures can result in abnormalities ranging from mild heat exhaustion to heat stroke with multiorgan system failure. An understanding of the mechanisms of thermoregulation and how those mechanisms fail with extreme heat stress is critical for management of the patient with elevated body temperature in the emergency department.
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This article provides an overview of the pathogenesis and signs and symptoms of dangerous endocrine causes of hyperthermia. Treatment strategies based on specific causes are discussed.
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Fever in ill travelers returning home from developing nations is common. Most travelers present with undifferentiated febrile syndromes. ⋯ Empiric treatment based on the clinical presentation is required in many cases, because acquisition of confirmatory laboratory data is often delayed. The focus of this article is travel-related illness that falls within the spectrum of the acute febrile syndrome.
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Postprocedure fevers vary in the timing of their occurrence, duration, and severity. Such fevers do not all have an infectious cause, but they all require thorough investigation to rule out life-threatening conditions. This article summarizes the principles of diagnosis and management of postprocedure fevers for the emergency care provider.
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Emerg. Med. Clin. North Am. · Nov 2013
ReviewHyperthermia caused by drug interactions and adverse reactions.
Drug-induced hyperthermic syndromes are similar to heat illness. The purpose of this article is to discuss the drugs associated with the development of these syndromes and to review their pathophysiology, clinical manifestations, and management.