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

#Diagnosis #Management #Pediatrics #Peds #Febrile #Infant #StepByStep #Algorithm #LP
Infants #Diagnosis ... #Febrile #Infant ... #StepByStep #Algorithm ... #LP #Antibiotics ... #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 #Infant ... #LP #Antibiotics ... #Fever
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 ... #Febrile #Infant ... #LP #Antibiotics ... #Fever
Clinical Algorithm for Emergency Department Evaluation and Management of UTI in Febrile Infants and Young Children

Urinary
Emergency Department Evaluation ... Management of UTI in Febrile ... #Diagnosis #Management ... #Febrile #Infant ... #Peds #UrinaryTract
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
pyelonephritis Most common cause ... Consider BCx, CSF evaluation ... with LP Meningitis ... particularly complex febrile ... #Peds #EM #Classification
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS Evaluation ... Ask about: - Changes ... physical activity - Nausea ... #diagnosis #Algorithm ... #cardiology #Angina
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Evaluation Major ... specific questions to ask ... or family - Ever ... event, follow ACC algorithm ... #diagnosis
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
work-up - If febrile ... mg/dL or > 25 % rise ... Treat underlying cause ... interventional radiology ... Oncology #HemeOnc #Diagnosis
Cryptococcal meningitis on T2 MRI
30 M from sub-Saharan Africa presents w/ progressive Headache x1 mo, +neck
Diagnosis? ... Nausea & vomiting ... are common but fever ... If a second LP is ... Brain #clinical #radiology