5986 results
Validation of the Step-By-Step Approach to Febrile Infants

#Diagnosis #Management #Pediatrics #Peds #Febrile #Infant #StepByStep #Algorithm #LP
Febrile Infants #Diagnosis ... StepByStep #Algorithm #LP ... Stratification #Fever
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
uncharacterized fevers ... unformed) PNA diagnosed ... 3) Meningitis Diagnose ... with LP Meningitis ... Classification #Fever
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
Fever of Unknown ... Get an LP and imaging ... Refer to your ‘Fever ... udaygulati #FUO #Fever ... UnknownOrigin #workup #diagnosis
“Step by Step” – the new kid on the block – aims to risk stratify this
an infant with fever ... CRP < 20 mg/L #Diagnosis ... StepByStep #Algorithm #LP ... Stratification #Fever
Powassan Virus Infection
 • Prodrome +/- fine erythematous rash → sudden onset fever, neurological deficits
 •
→ sudden onset fever ... dysarthria -> fever ... rhomboencephalitis, LP ... Virus #Infection #diagnosis
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
consciousness Consider LP ... of infection (fever ... #CriticalCare #Diagnosis
The Febrile Infant Step-by-Step Algorithm
This is an algorithm developed by European emergency physicians to identify low-risk
92.0% and 46.9% #Diagnosis ... StepByStep #Algorithm #LP ... Stratification #Fever
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... , Dengue fever, ... , Drug fever ... #differential #diagnosis
Causes of Relative Bradycardia - Note the propensity for intracellular organisms.
Infectious: 
Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... , Dengue fever, ... , Drug fever ... #differential #diagnosis
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - ... Differential Diagnosis ... Continuous Fever ... (Step ladder: fever ... #Differential #Diagnosis