Medical history (history of illness) represents an important component in the diagnosis of chills. Family history What is the current health status of your family members? Social anamnesis Current medical history/systemic history (somatic and psychological complaints). How long has the chills been present? Are there any other symptoms present? General feeling of illness Loss of … Chills: Medical History
Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count Differential blood count Inflammatory parameter – CRP (C-reactive protein) Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, ketone, urobilinogen, bilirubin, blood), sediment, if necessary urine culture (pathogen detection and resistogram, that is, testing suitable antibiotics for sensitivity / resistance). Electrolytes … Chills: Test and Diagnosis
Therapeutic target Symptomatic therapy Therapy recommendations Paracetamol (antipyretic/antipyretic); first-line agent in children. See also under “Further therapy“.
Obligatory medical device diagnostics. Temperature measurement with a clinical thermometer- the most accurate is the rectal measurement, ie, in the anus (measurement time: 5 min) (gold standard); the measurement can also be oral, ie, under the tongue, axillary, ie, under the armpit (measurement time: 10 min) or auricular, ie, in the ear (measurement error possible … Chills: Diagnostic Tests
The following symptoms and complaints may occur along with chills: Leading symptom Severe muscle tremors throughout the body → leading to a rapid rise in body temperature. Associated symptoms General feeling of illness Anorexia (loss of appetite) Cephalgia (headache) Limb pain Febrile convulsions (especially in infants and young children).
In case of prolonged fever (> 4 days), very high fever (> 39 °C) or severe feeling of illness, a doctor must be consulted! Babies with fever always belong to the pediatrician. Older children should be presented to a physician in the following cases: The fever rises above 38.5 °C. The fever persists for more … Chills: Therapy
Respiratory System (J00-J99) Bronchitis* – inflammation of the bronchial mucosa. Pharyngitis* (inflammation of the throat) Pneumonia* (pneumonia) Sinusitis (sinusitis) Tonsillitis* (tonsillitis) Tracheitis* (inflammation of the trachea) Skin and subcutaneous (L00-L99) Vasculitides – autoimmune disease affecting the blood vessels. Cardiovascular system (I00-I99). Infective endocarditis (endocarditis of the heart). Infectious and parasitic diseases (A00-B99). Abscess fever Actinomycosis … Chills: Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, temperature measurement (preferably repeatedly rectally – in the anus), body weight, height; furthermore: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). Auscultation (listening) of the heart [due todifferential diagnosis: infective endocarditis … Chills: Examination
