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

#Diagnosis #Management #Pediatrics #Peds #Febrile #Infant #StepByStep #Algorithm #LP
Infants #Diagnosis ... #Management #Pediatrics ... Algorithm #LP #Antibiotics ... #Risk #Stratification ... #Fever #RebelEM
“Step by Step” – the new kid on the block – aims to risk stratify this
CRP < 20 mg/L #Diagnosis ... #Management #Pediatrics ... #Peds #Febrile ... Algorithm #LP #Antibiotics ... #Fever
Kawasaki Disease (Mucocutaneous Lymph Node Syndrome) 
An rare systemic acute febrile vasculitic syndrome. Aetiology unknown. 
Affects
Kawasaki Disease ... systemic acute febrile ... immunoglobulin reduces the risk ... #Features #Signs ... #Peds #Pediatrics
The Febrile Infant Step-by-Step Algorithm
This is an algorithm developed by European emergency physicians to identify low-risk
The Febrile Infant ... 92.0% and 46.9% #Diagnosis ... #EBM #Management ... #Pediatrics #Peds ... #Fever
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... by an afebrile ... Brucellosis Faget's Sign ... For every 1°F rise ... #Differential #Diagnosis
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
and Management ... pneumonia • DM risk ... : • 80% have fever ... decubitus - air fluid level ... Lung Abscess Management
Hemophagocytic Lymphohistiocytosis (HLH)
Definition: Overwhelming clinical syndrome associated with excessive macrophage activation and cytokine storm due to
age, however the disease ... : HLH signs and ... acute or subacute febrile ... rapidly, and empiric antibiotic ... #management #treatment
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
and Management ... active ROM +/- fever ... necrosis, Lyme disease ... parenteral Abx, Orthopedics ... 90% sensitive in pediatrics
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... Treat if other signs ... improved outcomes 1) Antibiotics ... disease (Child-Pugh ... #management #prophylaxis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... Intraabdominal - Orthopedic ... one post op Cardiology ... medical and surgical management ... stratification #diagnosis