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Fever in the ED 

Fever in the ED
Chapter:
Fever in the ED
Author(s):

Chidi Ejimofo

, and Sam Thenabadu

DOI:
10.1093/med/9780199654093.003.0013
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date: 20 February 2020

This chapter provides a discussion of the challenges facing the emergency physician dealing with a patient presenting with a fever after recent foreign travel. It describes an overview of the range of potential differentials and the history, examination, and investigation profiles required. It focuses on the investigation of malaria via rapid diagnostic tests and the treatment options for falciparum malariae.

It examines the evidence base for three key clinical questions: the use of rapid diagnostic tests; the clinical importance of neutropenia in light of infection and potential illness; and the criteria for consideration of outpatient falciparum. The chapter also explores the role of HIV screening and testing in the emergency department setting.

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