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Wednesday, June 1, 2022

Pyrexia of unknown origin

 PUO is defined as a temperature persistently above 38 degree celcius for more than 3 weeks, without diagnosis, despite initial investigations during 3 days of inpatient care or after more than 2 outpatient visits.

Causes of impalpable apical impulse

 -overweight

-hyperinflated lungs

-behind the rib

-pericardial effusion 

-dextrocardia

AE - COPD

  1.  An exacerbation of chronic obstructive pulmonary disease (COPD) is defined as

 "an acute event characterized by a worsening of the patient's respiratory symptoms that is beyond normal day-to-day variations and leads to a change in medication" 

by the Global Initiative for Chronic Obstructive Lung Disease (GOLD), a report produced by the National Heart, Lung, and Blood Institute (NHLBI) and the World Health Organization (WHO).

  1.  This generally includes an acute change in one or more of the following cardinal symptoms:

Cough increases in frequency and severity

Sputum production increases in volume and/or changes character

Dyspnea increases