SEPSIS, SEPTIC SHOCK -ICU BASICS :CLINICAL ,TREATMENT, PATHOPHYSIOLOGY (DR TAPESH BANSAL) 🩺📽🎫

[@drkounsar]

hi, awesome lecture . thanks .

[@youngindiaintensivist7709]

@drkounsar..thanks so much for ur consistent appreciation.🤗

[@ranjithkumar-rm8zw]

@youngintensivist, dr tapesh sir what is the cause of increased crp like more than 250 but procal level remains normal?? Sir Post trauma patient sp craniectomy with multiple febrile episodes with crp -400 , procal - 0.5 sir What could be the cause sir?

[@youngindiaintensivist7709]

@ranjith..crp can be high for sometime like 2-3 days after polytrauma since this is SIRS similarly after surgery/craniectomy it can be high for 3 days . Fever can be bcz of central fever or post OP fever If all this does not explain then u hv to investigate and obviously infn has to be ruled out Procal may not rise despite hi crp and infection bcz of genetic variation and response

[@ranjithkumar-rm8zw]

@@youngindiaintensivist7709 in last week alone I have seen 3 patients all with high degree fever like 104-106F with only raised crp sir can cns infection manifest like with only high CRP ? Sir?

[@ranjithkumar-rm8zw]

@@youngindiaintensivist7709 thankyou for replying sir

[@ranjithkumar-rm8zw]

@@youngindiaintensivist7709 fever more towards evening time sir spikes and episodes are frequent in evening only sir

[@youngindiaintensivist7709]

@@ranjithkumar-rm8zw evening fever has no meaning. Normal body temperature is more in the eve. But in ICU circadian rhythm is lost. Evaluate and progress as per the reasoning I provided