We learned about a patient who presented with a heat stroke during our recent heat wave. Remember the importance difference between fever and hyperthermia

Fever: elevation of hypothalamic set-point leading to increased core temperature

Hyperthermia: elevation of core temperature independent of changes in the body’s thermoregulatory center.

In clinical practice it is often difficult to discern the two – and therefore for challenging cases, it may be useful to think about the differentials for both. Remember, everyone NEEDs MISO 🙂