Is it ANXIETY or something else????

Medical conditions known to present with anxiety symptoms:

o Hyperthyroidism
o Hypoglycemia
o Pheochromocytoma
o Hypercortisolism
o Cardiac arrhythmias
Air born disease:
 tuberculosis,
 measles,
 chickenpox (VZV)
 SARS (corona virus) and
 aspergillosis.
(Use negative pressure room to contain these)

Mechanism of Fever

Macrophages release  IL-1 and TNF which go to 

perivascular cells (around blood vessels) of hypothalamus 
increase COX in these cells  increased PGE2  Raises
temperature set point (Anterior hypothalamus)
 Psoas abscess

PGE2:
Can occur as a result of hematogenous or
1) Maintains PDA lymphatic seeding from a distant site or
2) Stimulates Pain
3) Increases temperature set point spread from an adjacent site.
4) Increases Uterine Tone Inflammation os psoas muscle causes pain
when the his is extended (psoas sign)
PGI2:

1) Inhibits Platelet aggregation s/s: Fever, back or flank pain, inguinal mass,
2) Decreases Uterine Tone
difficulty walking
Risk factors: Diabetes, IV drug use, HIV

Osteomyelitis

Children:
Caused transient bacteremia
metaphysis

Adults:
Cause by open wound bactermia
Epiphysis

Pterion where the frontal, parietal, temporal and sphenoid bones meet in the skull.

Pterion fractures:

Risk lacerating middle meningeal artery causes epidural hematoma.

Middle meningeal artery  branch of the maxillary artey branch of external carotid artery

MCV average volume of the body's red blood

cells
MCHC average amount of hemoglobin inside a
single red blood cell

Ferritin
TIBC
 Factors that ↑ EPO production
 hypoxemia (↓PO2)
 severe anemia
 left shift O2 binding curve
 high altitude
 ↓ SaO2 (carbon
monoxide/methemoglobinemia)
Pathological (ectopic):
Renal cell carcinoma &Hepatocellular carcinoma

Packed red blood cells/whole blood transfusions contain citrate  citrate is a calcium chelator
 hypocalcemia  parasthesis