28 results
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
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... disease • Behcet's syndrome ... • Hyper-IgD syndrome ... For every 1°F rise ... #Differential #Diagnosis
“Step by Step” – the new kid on the block – aims to risk stratify this
an infant with fever ... CRP < 20 mg/L #Diagnosis ... #Management #Pediatrics ... #Peds #Febrile ... Stratification #Fever
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Differentiation Syndrome ... Attempt if high risk ... Subacute-Acute: • Common: fever ... Rare: DAH, acute febrile ... #management #hematology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... - 80% have fever ... Treatment: - If febrile ... #TLS #diagnosis ... #management #hematology
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 • Shed in the urine, feces, saliva of
Cardiopulmonary Syndrome ... (HCPS): Febrile ... • Prodrome: fever ... +/- diarrhea Diagnosis ... #management #treatment
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- Triglyceride level ... increase the risk ... abdominal compartment syndrome ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
and Management ... : • Fever, chills ... Purulent Arthritis Syndrome ... Most patients are afebrile ... #Management #Microbiology
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
and Management ... e.g. incidental CXR ... General: fever, ... : ACUTE, fever, ... presentation with fever
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
pneumonia • DM risk ... : • 80% have fever ... Blood cultures • CXR ... early disease) • CXR ... decubitus - air fluid level