18 results
Step by Step Algorithmic Approach to Pediatric Fever

Age < 21 days old (or 28 days for
Step by Step Algorithmic ... Procalcitonin >= 0.5 ng/mL ... #Pediatrics #Peds ... Diagnosis #Management #StepByStep ... #Fever
“Step by Step” – the new kid on the block – aims to risk stratify this
investigations and treatments ... Procalcitonin <0.5 ng/mL ... Management #Pediatrics #Peds ... Febrile #Infant #StepByStep ... #Algorithm #LP
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Adult-Onset Still's Disease ... Clinical triad: Fever ... hepatitis • Pulmonary ... diagnosis #management #treatment ... #rheumatology
Management of interstitial lung disease (ILD)-associated with systemic sclerosis (SSc)

Therapeutic indication: absolute decline in FVC >10%
interstitial lung disease ... >10% (or >200 mL ... DLCO >15% (or 3 mL ... systemicsclerosis #SSc #pulmonary ... #algorithm
Adult Onset Still's Disease
Systemic inflammation with urticarial rash.
Rash: 
 • Nonpruritic, evanescent (correlates with time of
Onset Still's Disease ... Ferritin >3000 ng/mL ... Treatment - Mild ... : NSAIDS Treatment ... AOSD #diagnosis #rheumatology
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
• Periodic fever ... - Nonremitting fever ... 5000 to 10,000 ng/mL ... Treatment: • Corticosteroids ... #Rheumatology
The Febrile Infant Step-by-Step Algorithm
This is an algorithm developed by European emergency physicians to identify low-risk
This is an algorithm ... empiric antibiotic treatment ... Management #Pediatrics #Peds ... Febrile #Infant #StepByStep ... Stratification #Fever
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
• Clinical: fever ... • Autoimmune diseases ... Adult-onset Still disease ... Unknown cause Treatment ... #summary #rheumatology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
respiratory symptoms • Fever ... symptoms • Rheumatologic ... infection • Cough, fever ... MC: CNS CSF: • ... • Isolated fever
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
incomplete Kawasaki Disease ... old on day ≥7 of fever ... echo is positive, treatment ... within 10 d of fever ... #Diagnosis #Peds