12 results
Validation of the “Step-by-Step” Approach in the Management of Young Febrile Infants
Visual Abstract by Dr. Kirsty
Approach in the Management ... pubmed/27382134 #EBM ... #Peds #Pediatrics ... #Infant #Risk # ... Stratification #Fever
Validation of the Step-By-Step Approach to Febrile Infants

#Diagnosis #Management #Pediatrics #Peds #Febrile #Infant #StepByStep #Algorithm #LP
Infants #Diagnosis ... #Management #Pediatrics ... #Peds #Febrile ... #Antibiotics #Risk ... Stratification #Fever
Decision Aid - What is the risk of serious infection in febrile infants (<60 days old)?

Reference:
- What is the risk ... infants (<60 days ... Pediatrics #DecisionAid ... #Stewardship #EBM ... #Fever
The Febrile Infant Step-by-Step Algorithm
This is an algorithm developed by European emergency physicians to identify low-risk
The Febrile Infant ... empiric antibiotic treatment ... 46.9% #Diagnosis #EBM ... #Management #Pediatrics ... Stratification #Fever
“Step by Step” – the new kid on the block – aims to risk stratify this
investigations and treatments ... fever without source ... #Pediatrics #Peds ... #Febrile #Infant ... Stratification #Fever
Hemophagocytic Lymphohistiocytosis (HLH)
Definition: Overwhelming clinical syndrome associated with excessive macrophage activation and cytokine storm due to
frequently affects infants ... acute or subacute febrile ... following: • Fever ... Lymphohistiocytosis #diagnosis #management ... #treatment #hematology
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Attempt if high risk ... Subacute-Acute: • Common: fever ... Rare: DAH, acute febrile ... common • Imaging: CXR ... #hematology #oncology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... - 80% have fever ... : - If febrile ... TLS #diagnosis #management ... #hematology
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
Diagnosis and Management ... active ROM +/- fever ... 90% sensitive in pediatrics ... cervical, anal Cxs ... MH/CCF/CWRU EM
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
Neutropenic fever ... : - Fever + ANC ... mg/dL or > 25 % rise ... or HSCT - CRS: fever ... therapy - Symptoms: fever