16 results
Step by Step Algorithmic Approach to Pediatric Fever

Age < 21 days old (or 28 days for
Procalcitonin >= 0.5 ng/mL ... CRP mg/L or ANC ... #Pediatrics #Peds ... #Diagnosis #Management ... #Infant #Fever
“Step by Step” – the new kid on the block – aims to risk stratify this
investigations and treatments ... Procalcitonin <0.5 ng/mL ... <10,000/mm3 - CRP ... < 20 mg/L #Diagnosis ... Management #Pediatrics #Peds
Hemophagocytic Lymphohistiocytosis (HLH)
Definition: Overwhelming clinical syndrome associated with excessive macrophage activation and cytokine storm due to
: Overwhelming clinical ... frequently affects infants ... following: • Fever ... absent NK cell activity ... #hematology
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
Infants ≤6 months ... old on day ≥7 of fever ... echo is positive, treatment ... and lab signs (CRP ... #Diagnosis #Peds
Cryptogenic Organizing Pneumonia - Illness Script

PATHOPHYSIOLOGY: Unknown trigger, reversible inflammatory/fibroproliferative process. Polypoid fibroblastic aggregates that plug
Cough, dyspnea, fever ... : Clinical diagnosis ... , neoplastic) TREATMENT ... TylerLarsenMD #COP ... #management #pulmonary
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
Risk factors: Critical ... : 33% • Treatment ... elevated BNP, high CVP ... , and CXR with pulmonary ... #diagnosis #comparison
Adult Onset Still's Disease
Systemic inflammation with urticarial rash.
Rash: 
 • Nonpruritic, evanescent (correlates with time of
Labs: • ↑ESR/CRP ... Ferritin >3000 ng/mL ... greater the disease activity ... Treatment - Mild ... #rheumatology #
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
characteristic features Clinical ... TB: • Fever • ... cough Pleuritic CP ... Tuberculosis Diagnosis ... Tuberculosis #TB #Diagnosis
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
characteristic features Clinical ... TB: • Fever • ... cough Pleuritic CP ... Tuberculosis Diagnosis ... Tuberculosis #TB #Diagnosis
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
respiratory symptoms • Fever ... symptoms • Rheumatologic ... has five major clinical ... fungal stain of clinical ... • Isolated fever