FEVER AND CHILLS
the cheek (unilateral or bilateral) without demonstrable organic disease or which does not conform to a specific nerve distribution. It is usually described as deep-seated, severe, continuous and 'boring'. Treatment
• dothiepin (Prothiaden) 50-150 mg nocte
or • other appropriate antidepressant
Fever and chills
Facts and figures
• Fever plays an important physiological role in the defence against infection.
• Normal body temperature (measured orally) is 36-37.3°C (average 36.8°C). There is considerable diurnal variation in temperature so that it is higher in the evening by about 0.6°C. • Normal average values (morning): Oral 36.8°C
Axilla 36.4°C Rectum 37.3°C • Fever (pyrexia): Morning oral > 37.2"C Evening oral > 37.8°C
• Fevers due to infections have an upper limit of 40.5-41.1°C (105-106°F).
• Hyperthermia (temperature above 41.1°C) and hyper¬pyrexia appear to have no upper limit.
• Infection remains the most important cause of acute fever.
• Symptoms associated with fever include sweats, chills, rigors and headache.
• Drugs can cause fever (e.g. allopurinol, antihistamines, barbiturates, cephalosporins, cimetidine, methyldopa, penicillins, isoniazid, quinidine, phenolphthalein, includ¬ing laxatives, phenytoin, procainamide, salicylates, sulphonamides).
Fever of less than 3 days duration
• Usually due to self-limiting viral URTI
• Watch out for an infectious disease, UTI, pneumonia or other infection
• Consider routine urine examination
• Most can be managed conservatively

products.herbalife.gr company.herbalife.co.uk