As the patient was
apyrexial, blood cultures were not performed.
On admission the patient was noted to be
apyrexial. She had a sinus tachycardia of 131 bpm and was normotensive and tachypnoeic, with a respiratory rate of 40 breaths per minute with the use of accessory muscles evident.
Intravenous (IV) methylprednisolone was given for 3 days for a presumptive diagnosis of acute disseminated encephalomyelitis (ADEM), during which her condition remained stable and she was
apyrexial. However, a day later, she developed a fever and became comatose, and was found to have bilateral papilloedema.
On examination she had a normal heart rate and was
apyrexial. There was a 12.2 cm x 11.7 cm x 11 cm anterior mass on the left side of her neck (Fig.
He was
apyrexial with a palpable mobile mass in the right hypochondrium which was non-tender and measured 7A--5cm.
On examination, she was
apyrexial, blood pressure 96/76 mmHg, heart rate 92/min, respiratory rate 18/min, oxygen saturations of 92% on 10 L of oxygen.
On examination, the patient was
apyrexial with a respiratory rate of 50/min and a pulse rate of 140/min.
Remove the drip if the patient spikes a fever having been previously
apyrexial, or at first sign of redness or patient discomfort at site.
On admission, the patient was
apyrexial and not systemically ill.
She was, nevertheless,
apyrexial and otherwise asymptomatic.
On examination she was
apyrexial and looked cachectic.
On examination, she appeared pale but was
apyrexial with normal vital signs: pulse 80, blood pressure 120/80 and oxygen saturations 97% on room air.