11 results
Evaluation and Management of Pediatric Fever #Diagnosis #Management #EM #Peds #Fever #Workup #Evaluation #Discharge #Admission #Algorithm
Evaluation and Management ... of Pediatric Fever ... #Diagnosis #Management ... #EM #Peds #Fever ... #Workup #Evaluation
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
Unknown • 6-7 cases ... 6th decades of life ... - Diagnosis: ... #ILD #diagnosis ... #management
Pediatric Fever Without a Source - 3 months to 3 years - Additional Workup Beyond Urine
Pediatric Fever ... years - Additional Workup ... Vaccines (PCV) #Diagnosis ... #Management #Peds ... #EM #Workup #Algorithm
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 ... specificity 2) Pneumonia ... with CXR, obtain if ... #Peds #EM #Classification ... #Fever #SBI #SeriousBacterialIllness
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Bilateral B-Lines in case ... healthy pt with fever ... travel hx, home meds ... /lung sliding: Pulmonary ... NOT definitively diagnose
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
• Most common cause ... decubitus - air fluid level ... pneumonectomy if ... Lung #Abscess #pulmonary ... #differential #causes
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
and Management ... active ROM +/- fever ... viral arthritis Workup ... 90% sensitive in pediatrics ... MH/CCF/CWRU EM
Cryptogenic Organizing Pneumonia - Illness Script

PATHOPHYSIOLOGY: Unknown trigger, reversible inflammatory/fibroproliferative process. Polypoid fibroblastic aggregates that plug
-6th decade of life ... Cough, dyspnea, fever ... identified (autoimmune, meds ... #diagnosis #management ... #pulmonary
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
Amiodarone half life ... Fever 4. ... pneumonitis Diagnosis ... Exclude other causes ... #diagnosis #management
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
Lymphadenitis, pulmonary ... lymphadenitis, pulmonary ... cryptococcomas, cavitating pneumonia ... continued • If ... #Management