12 results
Validation of the Step-By-Step Approach to Febrile Infants

#Diagnosis #Management #Pediatrics #Peds #Febrile #Infant #StepByStep #Algorithm #LP
the Step-By-Step Approach ... #Diagnosis #Management ... #Pediatrics #Peds ... #LP #Antibiotics ... #Fever #RebelEM
“Step by Step” – the new kid on the block – aims to risk stratify this
CRP < 20 mg/L #Diagnosis ... Management #Pediatrics #Peds ... #Febrile #Infant ... #LP #Antibiotics ... #Fever
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
pyelonephritis Most common cause ... uncharacterized fevers ... with LP Meningitis ... particularly complex febrile ... #Peds #EM #Classification
Pediatric UTI Algorithm (2-24 months of age)

Risk stratify with UTI Calc: 
 - Age months
Pediatric UTI Algorithm ... - No other fever ... Emergency Medicine Cases ... #Diagnosis #Management ... UrinaryTractInfection #Peds
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach ... triad (<10%): fever ... sterile pyuria, WBC casts ... #Algorithm #nephrology ... #diagnosis
The Febrile Infant Step-by-Step Algorithm
This is an algorithm developed by European emergency physicians to identify low-risk
This is an algorithm ... 92.0% and 46.9% #Diagnosis ... Management #Pediatrics #Peds ... #LP #Antibiotics ... #Fever
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... - Differential Diagnosis ... Algorithm Pinpoint ... Red Flags: • Fever ... #Algorithm #Causes
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
approach to identifying ... physical activity - Nausea ... 2.6) - Cardiac risk ... findings - Age - Risk ... ACS #Evaluation #diagnosis
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Non-Infectious Causes ... by an afebrile ... For every 1°F rise ... #Differential #Diagnosis
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
: - Fever + ANC ... work-up - If febrile ... mg/dL or > 25 % rise ... Treat underlying cause ... Oncology #HemeOnc #Diagnosis