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Related Concept Videos

Increased Body Temperature01:25

Increased Body Temperature

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A body temperature above  38°C  (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in...
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Before understanding the types and patterns of fever, it is essential to know its phases.
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Types of Fever01:25

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Fever can be triggered by several factors, including infections, nervous system disorders, certain cancers, blood diseases like leukemia, embolism, thrombosis, heatstroke, dehydration, surgical trauma, crushing injuries, and allergic reactions.
Here are the different types of fever:
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Methods of reducing fever01:22

Methods of reducing fever

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The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
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Acute Pharyngitis01:30

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Introduction
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Acute Pyelonephritis II: Diagnostic Studies and Management01:28

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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
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Dynamic Imaging of Chimeric Antigen Receptor T Cells with [18F]Tetrafluoroborate Positron Emission Tomography/Computed Tomography
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Fever in the Not-So-Typical Pediatric Patient.

Amanda D Russo1, Dane Nickel1, Matthew D Thornton2

  • 1Department of Emergency Medicine, SUNY Upstate Medical Center, Syracuse, NY, USA.

Emergency Medicine Clinics of North America
|October 17, 2025
PubMed
Summary
This summary is machine-generated.

Fever in children is common, but those with chronic conditions need special attention in the emergency department (ED). This review details why high-alert monitoring and specific medical approaches are crucial for these pediatric patients.

Keywords:
Adrenal insufficiencyFeverImplanted medical devicesNephrotic syndromePediatricSickle cell diseaseUnvaccinated

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Area of Science:

  • Pediatric Emergency Medicine
  • Clinical Pediatrics
  • Infectious Disease Management

Background:

  • Fever is a frequent reason for pediatric emergency department (ED) visits.
  • Most febrile children have viral illnesses and receive supportive care.
  • A specific group of pediatric patients with chronic conditions requires heightened vigilance and specialized ED evaluation for fever.

Purpose of the Study:

  • To emphasize the importance of recognizing high-risk pediatric patients presenting with fever in the ED.
  • To outline the necessary medical approach for evaluating febrile children with chronic conditions or special circumstances.
  • To provide guidance for clinicians managing complex pediatric fever cases.

Main Methods:

  • Literature review on pediatric fever management in emergency settings.
  • Analysis of clinical guidelines for evaluating febrile children.
  • Case-based discussion of special populations requiring advanced fever workup.

Main Results:

  • Identification of key indicators for increased risk in febrile pediatric patients.
  • Delineation of diagnostic strategies beyond standard viral illness assessment.
  • Emphasis on tailored management plans based on individual patient history and comorbidities.

Conclusions:

  • Prompt recognition and thorough evaluation are critical for febrile children with chronic conditions.
  • A systematic, risk-stratified approach optimizes care and improves outcomes for vulnerable pediatric populations.
  • Specialized medical attention in the ED is essential for managing complex pediatric fever cases effectively.