Epistemis

Shivers

Specialty: General.

  • shivering
  • chills

Why it occurs

  • Infection with fever (bacteremia)
  • Transfusion reaction
  • Heat stroke in resolution
  • Drugs

Initial workup

Take temperature and look for a focus; blood cultures if there is high fever or suspicion of sepsis.

red flags

Intense chills with high fever and hypotension → possible bacteremia/sepsis: urgency.

Standard management

  • Anti-thermal — paracetamol
  • Treat the infection — according to focus

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

Area
General
Listed causes
4
Treatment options
2
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