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mdali007
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medicine: Evening rise of temperature
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11.07.04 (4 years ago)
#1
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Can you please tell the cause of the EVENING RISE OF TEMPERATURE IN TUBERCULOSIS ? and while you are at it also why there is RELATIVE BRADYCARDIA in TYPHOID ? Im unable to find the answers ... plz help !
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mdali007
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11.09.04 (4 years ago)
#2
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RXPG TEAM can you please answer the question ...... I need those answers ......
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mdali007
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help RXPG PEOPLE
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11.10.04 (4 years ago)
#3
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DING DING ...... HELLO ANYBODY HOME ...... I NEED HELP HERE ...... RXPG PEOPLE HELP ME ...... 
please tell the cause of the EVENING RISE OF TEMPERATURE IN TUBERCULOSIS ?
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mdali007
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almost dead !!!
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11.11.04 (4 years ago)
#4
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RXPG TEAM I NEED UR HELP HERE !!!!!
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drpsg
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11.12.04 (4 years ago)
#5
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HEY I WAS TOLD IN MY CLINICS IN MY UG DAYS THAT THE EVENING RISE OF TEMP IS AS SUCH NOT PRESENT IT IS DUE TO THE DECREASE IN THE ENVIRONMENTAL TEMP WHICH IS PERCEIVED AS SLIGHT INCREASE IN TEMP AT EVENING
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mdali007
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FIANLLY !!
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11.14.04 (4 years ago)
#6
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finally i get an answer ... not satisfying though ... thanks drpsg .....
RXPG can you plz answere the question ....
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Bruno
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11.14.04 (4 years ago)
#7
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In the morning due to increased steroids in the body(diurnal variation) the temp is low........... that is a normal phenomenon and what we see in TB is an exaggeration of the normal phenomenon
In normal persons........... Morning Normal Temp, Evening Normal Temp
In Febrile Illness....... Morning Fever, Evening MORE fever or Morning LESS Fever... Evening Fever
In TB (or any chronic infections) Morning No Fever and Evening Fever
In short,
there is an anti inflammatory effect in the morning........ THis is just enough to bring down the temp in TB.......
Tell me whether this has helped you (or confused you)
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mdali007
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11.14.04 (4 years ago)
#8
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okey thanks ..... i got it ..... now what about relative bradycardia in Typhoid? can you help .....
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Bruno
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11.14.04 (4 years ago)
#9
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For every 1 degree rise in temp, there is 10 number rise in heart rate...............
If the heart rate does not rise by 10 beats/minute for every 1 degree rise in temp, this is relative bradycardia........... In fact it is a tachycardia, but "not-tachy-enough"cardia  
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mdali007
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okey
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11.15.04 (4 years ago)
#10
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thanks bruno ... you've been really helpfull ....
Yes there is an increment of 10 beats for every degree rise of temperture
but what I want to know is .......
WHAT IS THE CAUSE OF THE RELATIVE BRADYCARDIA IN TYPHOID ???? or what is the cause of the not-tachy-enough"cardia in typhiod ???
obliged and waiting .....
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Bruno
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11.15.04 (4 years ago)
#11
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Hey........ i got this doubt suddenly
Can any one find out whether the 10 beats is for 1 degree fahrenheit or 1 degree celsius
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willpower
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11.16.04 (4 years ago)
#12
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| Bruno wrote: |
Hey........ i got this doubt suddenly
Can any one find out whether the 10 beats is for 1 degree fahrenheit or 1 degree celsius |
it's 10 beats per degree fahrenheit.
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mdali007
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11.16.04 (4 years ago)
#13
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thanks willpower ... can you also tell .... WHAT IS THE CAUSE OF THE RELATIVE BRADYCARDIA IN TYPHOID ????
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willpower
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11.16.04 (4 years ago)
#14
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| Bruno wrote: |
In the morning due to increased steroids in the body(diurnal variation) the temp is low........... that is a normal phenomenon and what we see in TB is an exaggeration of the normal phenomenon
In normal persons........... Morning Normal Temp, Evening Normal Temp
In Febrile Illness....... Morning Fever, Evening MORE fever or Morning LESS Fever... Evening Fever |
Quite...the normal diurnal variation is one degree F: the normal upper values are [snip].9F (morning) and 99.9F (evening)
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mdali007
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11.16.04 (4 years ago)
#15
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i said relative bradycardia !!!
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willpower
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temperature - pulse relation
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11.16.04 (4 years ago)
#16
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pulse rate : increment by 13-15%/’C or
[last digit of BT in Fahrenheit -1]*10 +100 = PR
well, there's a temp-pulse dissociation in a lot of fevers (brucellosis, rickettsia etc.) but as for the reason, your guess is as good as mine. typhoid also causes relative neutropenia, so likely lesser IL-1 in circulation? (and now we open another pandora's box!!)
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viralbjmc2000
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06.26.08 (1 year ago)
#17
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the exact mech. for realtive bradycardia is not known saearch relative bradycardia on google and see nih.gov article on that.
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