Reza
๐ค SpeakerAppearances Over Time
Podcast Appearances
And probably no localizing sign.
And it's persisted for a couple of days.
And so I think the question that the patient's father would ask, he was like, does he need to go to the emergency department?
Is there something sinister that is brewing beneath?
And he's a young guy.
And I think if there is, I would actually be more worried about a fever without a localizing symptom than a fever with a localizing symptom.
Because if you told me this kid is having upper respiratory symptoms or is having diarrhea, I'd be like, that's okay.
Like it's going to hopefully resolve and you can monitor.
But when you say hip pain, that's gone away.
And now fever, but otherwise feels fine.
That makes me worried.
And actually, honestly, it would prompt me to ask more about the social history.
Particularly, what kind of activities does he do?
Is he outdoors?
Is he sexually active?
And if someone had fever for a number of days without an answer and is young, and like Robbie alluded to this, this patient probably has so much cardiovascular reserve being 19 years old and healthy.
I'm very, very curious to see what his CBC shows, what his liver chemistry test shows, specifically with an attention to the ASC, ALT, and the platelet.
And then just getting a little more in terms of his social history, because we have inflammation without symptom, though the hip may ultimately...
give us a sense of what this answer is.
And that just makes me want to look internal.