Rigor Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Rigor,

Negated

None

Unsure

None

Possible Causes

Sunburn

This study examines whether RTR have sufficiently rigorous sun protection behaviour compared with the general population. [ncbi.nlm.nih.gov]

Therefore, they are not always the same as official national estimates produced using alternate, potentially equally rigorous methods, nor necessarily endorsed by specific [who.int]

Normal vitamin D levels can be maintained despite rigorous photoprotection: Six years' experience with xeroderma pigmentosum. [ncbi.nlm.nih.gov]

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Pelvic Inflammatory Disease

Therefore, we individually assessed the following domains of potential bias: source population, method of participant selection, rigor of the exposure measurement, rigor of [dx.doi.org]

Instrucciones para obtener Eduación Continua Cdc-pdf 2015 STD Treatment Guidelines Overview Webinar – June 22, 2015 The STD Treatment Guidelines were developed through a rigorous [cdc.gov]

If multiple objective definitions were presented, estimates based on the most rigorous definition (eg, highest PMN counts) were selected. [dx.doi.org]

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Subcutaneous Abscess

If there is bacteremia patient may present with systemic signs of sepsis such as fever, rigors, and raised inflammatory markers. [radiopaedia.org]

Additionally, systemic features such as fevers and rigors may also be present. [radiopaedia.org]

Bacteremia is common in patients with extensive or severe disease, especially when fever and rigors are present. [infectiousdiseaseadvisor.com]

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Acute Amphetamine Intoxication

[…] non-cardiogenic pulmonary oedema / ARDS GIT hepatitis, nausea, vomiting, diarrhoea, GIT ischaemia metabolic hyperkalaemia (suggests PMA) hypoglycaemia other hyperthermia, muscle [ozemedicine.com]

Overdose can also cause stroke (usually hemorrhagic), seizures, muscle rigidity, and hyperthermia ( 40 C); all of these effects may precipitate rhabdomyolysis, which can lead [merckmanuals.com]

rigidity and hyperactivity contributing to persistent hyperthermia Nondepolarizing agent (e.g., vecuronium) Avoid succinylcholine Intubation; mechanical ventilation Apply [emergency.unboundmedicine.com]

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Crack Ingestion

rigidity, or hyperactivity Seizures usually brief and self-limited Coma resulting from intracranial hemorrhage, post-ictal state, or hyperthermia Respiratory Pulmonary edema [calsprogram.org]

[…] dissection Arrhythmia: may result in fatal VT or VF MI: as a result of coronary artery spasms Chest pain Central Nervous System HA, anxiety, agitation, delirium, psychosis, muscle [calsprogram.org]

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Alcohol Withdrawal

Anticonvulsants seem to have limited side effects, although adverse effects are not rigorously reported in the analysed trials. [ncbi.nlm.nih.gov]

The type of seizure that occurs — known as a grand mal or generalized tonic-clonic seizure — produces indicators such as: Full-body muscle rigidity Loss of bowel and bladder [recoveryranch.com]

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Acute Pyelonephritis

Febrile patients commonly exhibit chills or rigor as well, alongside fatigue and weakness. Temperature is not expected to exceed an average of 103 F (39.4 C). [symptoma.com]

Fever is variable but can be high enough to produce rigors. Malaise, nausea, vomiting, anorexia and occasionally diarrhoea occur. [patient.info]

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Upper Gastrointestinal Bleeding

[…] be admitted to a critical care area (Grade 2a, recommendation D) Consider the use of high dose intravenous PPIs to high risk patients with upper GI bleeds despite lack of rigorous [rcemlearning.co.uk]

A variety of observational studies and a few randomized trials have assessed this issue, but marked variations in study design, definitions, end points, and methodologic rigor [gi.org]

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Pneumococcal Pneumonia

Her history is of rapid onset (over a few hours) of shortness of breath, high fevers and rigors. [lifeinthefastlane.com]

Initially a viral illness is followed by an acute onset of high fever, rigors, productive cough, chest pain, dyspnea, tachypnea, tachycardia, excess perspiration, general [symptoma.com]

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Erysipelas

URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. [umms.org]

[…] important role in the occurrence of complications, and secondly the erythrocyte sedimentation rate can be a good biomarker ofcomplication risk and hospital criterion for rigorous [panafrican-med-journal.com]

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Hyperthyroidism

Some investigators suggest that the upper limit of normal for serum TSH concentration should be 2.5 mIU/L 11 in a population rigorously screened to exclude thyroid disease [doi.org]

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Acute Prostatitis

Management: Indications for Hospitalization ( Signs of bacteremia or Sepsis (fever 100.4, rigors) Urinary Retention Failed outpatient management (e.g. need for parenteral [fpnotebook.com]

Men with chronic bacterial prostatitis do not present with systemic symptoms of infection (fever, chills and rigors). [antimicrobe.org]

bladder, and prostate infections of prostatitis patients, numerous surveys have confirmed that clinicians have more or less abandoned this time-consuming and expensive rigorous [enotes.tripod.com]

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Gram-Negative Septicaemia

Clinical features suggesting the possibility of bacterial contamination and/or endotoxin reaction may include rigors, high fever, severe chills, hypotension, tachycardia, [transfusion.com.au]

[…] increasing intestinal edema, which were probably due to a combination of EBOV endothelial-cell cytotoxicity 6 and decreasing serum protein concentrations as a consequence of rigorous [nejm.org]

[…] increasing intestinal edema, which were probably due to a combination of EBOV endothelial-cell cytotoxicity6 and decreasing serum protein concentrations as a consequence of rigorous [nejm.org]

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Pseudomonas Septicemia

Depending on the referral population and the rigor with which visual function is tested, the prognosis for vision loss in IIH has varied considerably in different series. [emedicine.medscape.com]

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Septicemia

[…] healthy, 67-year-old, man with past medical history of myocardial infarction and hypertension was rushed to the emergency room after sudden onset of fever, chills, severe rigors [ncbi.nlm.nih.gov]

Our lower mortality rate also may be because we defined mortality secondary to septicemia more rigorously than the other studies; we used a shorter time from positive blood [jabfm.org]

[…] increasing intestinal edema, which were probably due to a combination of EBOV endothelial-cell cytotoxicity6 and decreasing serum protein concentrations as a consequence of rigorous [nejm.org]

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Jarisch Herxheimer Reaction

Ten of the 20 patients given anti-TNF-alpha Fab had Jarisch-Herxheimer reactions with rigors, as compared with 26 of the 29 control patients (P 0.006). [ncbi.nlm.nih.gov]

She developed hypertension, fever, and rigors. Shortly afterward, she became hypotensive and required fluid resuscitation. [ncbi.nlm.nih.gov]

On examination, rigors, shallow inspirations, and chills were noted. [ncbi.nlm.nih.gov]

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Gram-Negative Pneumonia

Signs and symptoms[edit] Pneumonia Fever Rigors Cough Runny nose (either direct bacterial pneumonia or accompanied by primary viral pneumonia) Dyspnea – shortness of breath [en.wikipedia.org]

Symptoms and signs include malaise, fever, chills, rigor, cough, dyspnea, and chest pain. [merckmanuals.com]

Symptoms and signs of hospital-acquired pneumonia in nonintubated patients are generally the same as those for community-acquired pneumonia and include malaise, fever, chills, rigor [merckmanuals.com]

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Bacterial Pneumonia

Initiative (CTTI) seeks to advance antibacterial drug development (ABDD) by streamlining clinical trials to improve efficiency and feasibility while maintaining ethical rigor [ncbi.nlm.nih.gov]

Initiative (CTTI) seeks to advance antibacterial drug development by streamlining HABP/VABP clinical trials to improve efficiency and feasibility while maintaining ethical rigor [ncbi.nlm.nih.gov]

Pneumonia Fever Rigors Cough Runny nose (either direct bacterial pneumonia or accompanied by primary viral pneumonia) Dyspnea – shortness of breath Chest pain Shaking chills [en.wikipedia.org]

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Acute Cholecystitis

Increasing abdominal pain, high fever, and rigors with rebound tenderness or ileus suggest empyema (pus) in the gallbladder, gangrene, or perforation. [msdmanuals.com]

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Infective Endocarditis

The papers published are of high quality after rigorous peer review and they are Indexed in: major international databases. [benthamopen.com]

Fever was high-grade intermittent, not associated with rigors and chills and subsided with analgesics. [jpma.org.pk]

[…] system is based on causative organism Also classify based on native valve or prosthetic valve endocarditis Clinical features Vague constitutional symptoms such as fever, rigors [pathologyoutlines.com]

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Ascending Cholangitis

Signs and symptoms A person with cholangitis may complain of abdominal pain (particularly in the right upper quadrant of the abdomen ), fever, rigors (uncontrollable shaking [ipfs.io]

Ascending Cholangitis Signs and Symptoms AC patients may experience problems like: Abdominal pain Rigors Fever Malaise, or a feeling of uneasiness Jaundice may also be reported [medicalsubstance.com]

Signs and symptoms[edit] A person with cholangitis may complain of abdominal pain (particularly in the right upper quadrant of the abdomen), fever, rigors (uncontrollable [en.wikipedia.org]

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Hepatocellular Carcinoma

Therefore, they are not always the same as official national estimates produced using alternate, potentially equally rigorous methods, nor necessarily endorsed by specific [who.int]

Symptoms of IRRs included rigors/tremors, back pain/spasms, chest pain and/or tightness, chills, flushing, dyspnea, wheezing, hypoxia, and paresthesia. [investor.lilly.com]

Side-effects of interferon therapy Constitutional flu-like illness fever rigors arthralgia myalgia fatigue Haematologic leukopenia thrombocytopenia Alopecia Neuropsiachiatric [web.archive.org]

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Bacterial Arthritis

We conclude, that the absence of fever, rigors, blood leucocytosis and positive blood cultures does not rule out the possibility of bacterial arthritis. [ncbi.nlm.nih.gov]

Constitutional symptoms such as fever, chills, and rigors are poorly sensitive for septic arthritis. [ncbi.nlm.nih.gov]

Additional less common features of bacterial arthritis include erythema of the skin over the infected joint, rigors, excessive sweating, and constitutional symptoms. [symptoma.com]

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Primary Sclerosing Cholangitis

Expert commentary: Due to the rarity of PSC and the considerable patient-years required to rigorously study major endpoints, there remains a paucity of high-quality evidence [ncbi.nlm.nih.gov]

Thus, rigorous initial imaging evaluation for detecting CCA is important. [ncbi.nlm.nih.gov]

Cholangitis is a serious and potentially life-threatening infection with fever, shaking chills (rigors), jaundice, and upper abdominal pain. [emedicinehealth.com]

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Agranulocytosis

Signs and symptoms[edit] Agranulocytosis may be asymptomatic, or may clinically present with sudden fever, rigors and sore throat. [en.wikipedia.org]

To decipher the genetic architecture of CIA, it is necessary to apply more rigorous standards of phenotyping and study much larger sample sizes. [ncbi.nlm.nih.gov]

Mechanisms proposed for DIIN have not been rigorously studied, but those that have been studied include drug- or hapten-induced antibody formation and autoantibody production [ncbi.nlm.nih.gov]

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Osteomyelitis

Systemic symptoms (such as fever and rigors) may also be present. [cancertherapyadvisor.com]

In general features supporting a diagnosis of acute osteomyelitis include: Local symptoms- erythema, swelling, tenderness, warmth over bone Systemic symptoms- fever, rigors [cancertherapyadvisor.com]

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Thyrotoxicosis Factitia

When MMI, thyroidectomy, and 131 I cannot be used, PTU can be considered an option for a short period of time in doses of 4.7-8.6 mg/kg of body weight (116) ( B ) under rigorous [scielo.br]

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Right-Sided Bacterial Endocarditis

Cardiac / renal failure can develop rapidly (50-70%) Haematuria secondary to renal failure present in about 70% of patients Rigors Night sweats Splinter haemorrhages (10-20% [almostadoctor.co.uk]

The patient presented with fever with chills and rigors 2 weeks after the induced abortion. She remained febrile for 1.5 months and did not respond to therapy. [atmph.org]

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Acute Peritonitis

—Usually chilly sensations, or a marked rigor, announce the presence of peritonitis. [henriettes-herb.com]

Fever/rigors. Rash or itching. Urinary symptoms. Recent weight loss. Past medical and surgical history/medication. [patient.info]

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Intraperitoneal Abscess in the Right Lower Quadrant

Intermittent bacteremia can result in recurrent fevers and rigors. Liver seeding can occur through the hepatic portal veins. [sharinginhealth.ca]

If it is consistently less, it is likely that some unnecessary operations are being performed, and a more rigorous preoperative differential diagnosis is in order. [intranet.tdmu.edu.ua]

In addition to cutaneous lesions, patients can experience fevers, sweats, rigors, right upper quadrant pain, or pain from bony lytic lesions. [hivinsite.ucsf.edu]

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