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“You can feel feverish without having a temperature, but you cannot clinically have a fever without a temperature above 100.4 degrees Fahrenheit by mouth,” says Eric Ascher, D.O., family ...
Temperature depression (hypothermia) also needs to be evaluated. Hypothermia is classified as temperature below 35 °C (95 °F). [12] It is also recommended to review the trend of the patient's temperature over time. A fever of 38 °C does not necessarily indicate an ominous sign if the patient's previous temperature has been higher.
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NEWS2 chart. In the UK, the Royal College of Physicians developed the National Early Warning Score (NEWS) in 2012 to replace local or regional scores. [9] [10] [11] The NEWS score is the largest national EWS effort to date and has been adopted outside the UK. [1] A second version of the score was introduced in 2017.
An early morning temperature higher than 37.3 °C (99.1 °F) or a late afternoon temperature higher than 37.7 °C (99.9 °F) is normally considered a fever, assuming that the temperature is elevated due to a change in the hypothalamus's setpoint. [15] Lower thresholds are sometimes appropriate for elderly people. [15]
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He introduced temperature charts into hospitals, holding that fever is not a disease, but a symptom. The thermometer he used was reportedly a foot long, and required 20 minutes to register the temperature. He was known for his lectures on psychiatry and on the "pathology and therapy of illnesses of the nervous system."
On the other hand, a "normal" temperature may be a fever, if it is unusually high for that person; for example, medically frail elderly people have a decreased ability to generate body heat, so a "normal" temperature of 37.3 °C (99.1 °F) may represent a clinically significant fever.