Rigor: Causes & Reasons

2.1

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Possible Causes for rigor

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]

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]

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]

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]

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]

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]

Acute Pyelonephritis

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

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]

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]

Pneumococcal Pneumonia

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

Symptoms generally include an abrupt onset of fever and chills or rigors. Typically, there is a single rigor, and repeated shaking chills are uncommon. [cdc.gov]

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]

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]

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]

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]

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]

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]

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]

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]

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]

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]

Cholangitis Suspect with significant elevation of bilirubin (total bilirubin 3), rigors, signs of sepsis. Can rapidly progress to shock and death. 2. [clinicaladvisor.com]

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]

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]

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]

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]

Sweats (sensitivity, 27%; 95% CI, 20%-34%) and rigors (sensitivity, 19%; 95% CI, 15%-24%) are less common findings in septic arthritis. [ncbi.nlm.nih.gov]

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]

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]

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]

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]

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]

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]

Drug-induced Neutropenia

The idiosyncratic nature of IDIN, the lack of mouse models and diagnostic testing, and its low overall incidence make rigorous studies to elucidate possible mechanisms exceptionally [ncbi.nlm.nih.gov]

[…] improved when he was reviewed in the out-patient clinic 6 weeks later but he presented to his doctor another month later with a 2 day history of swinging fever, chills and rigor [medicine-on-line.com]