2742 results
Validation of the Step-By-Step Approach to Febrile Infants

#Diagnosis #Management #Pediatrics #Peds #Febrile #Infant #StepByStep #Algorithm #LP
StepByStep #Algorithm #LP ... Stratification #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
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... , Dengue fever, ... Mountain spotted fever ... , Drug fever
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
uncharacterized fevers ... Diagnose with LP ... Classification #Fever
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - ... Continuous Fever ... (Step ladder: fever ... Intermittent Fever ... or no fever
“Step by Step” – the new kid on the block – aims to risk stratify this
an infant with fever ... StepByStep #Algorithm #LP ... Stratification #Fever
Causes of Relative Bradycardia - Note the propensity for intracellular organisms.
Infectious: 
Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... , Dengue fever, ... Mountain spotted fever ... , Drug fever
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
Psittacosis • Q Fever ... • Typhoid Fever ... • Drug Fever ... Typhoid Fever (S ... Dengue Fever NOTE
Lumbar Puncture Bleeding Risk

Discontinuing medications before lumbar puncture
 • Antiplatelets
 • Anticoagulants

#LP #Lumbar #Puncture #Bleeding #Risk
Anticoagulants #LP
Indications for Head CT before LP
 - Signs of Increased ICP (i.e. papilledema) 
 - History
Head CT before LP ... HeadCT #before #LP