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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.
“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 ...
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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]
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.
As physiological observations go outside normal parameters, numeric scores are assigned for the severity of variation. The sum of these scores across all measures is the EWS score, with scores of certain values requiring an escalation of care (such as urgent review by senior clinicians or medical emergency team activation).
Signs and symptoms depend on if the febrile seizure is simple versus complex. In general, the child's temperature is greater than 38 °C (100.4 °F), [4] although most have a fever of 39 °C (102.2 °F) or higher. [6] Most febrile seizures will occur during the first 24 hours of developing a fever. [6]
Febrile neutropenia or neutropenic fever is a defined as a single oral temperature value of ≥ 38.3 C (101 F) or a temperature ≥ 38 C (100.4 F) for ≥ 1 hour, with an absolute neutrophil count (ANC) < 1500 cell/microliter. [1] In case of severe neutropenia, the ANC is < 500 cell/microliter. [1]