13 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
“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
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... • Hyper-IgD syndrome ... Temperature Pulse Dissociation ... For every 1°F rise ... #Differential #Diagnosis
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... ), compartment syndrome ... I or Ill) • Ortho ... Radiology #XRay #Diagnosis ... #Proximal #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
, due to EDS and ... Finger splint • Ortho ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
ED arrival MSK ... - Fractures, dislocations ... compartment syndrome ... - high risk in ... #Management #Emergency
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
injury, elbow dislocation ... Splint: Sling • Ortho ... Type I, DC with ortho ... Radiology #XRay #Diagnosis ... #MSK
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
), compartment syndrome ... • ED Management ... Type l, DC with ortho ... Radiology #XRay #Diagnosis ... #MSK
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
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 ... Stratification #Fever