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

#Diagnosis #Management #Pediatrics #Peds #Febrile #Infant #StepByStep #Algorithm #LP
Febrile 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
block – aims to risk ... investigations and treatments ... those patients at risk ... considered “low risk ... #Risk #Stratification
Pediatric UTI Algorithm (2-24 months of age)

Risk stratify with UTI Calc: 
 - Age months
months of age) Risk ... - No other fever ... UTI #Algorithm #Diagnosis ... UrinaryTractInfection #Peds #Risk ... #Stratification
The Febrile Infant Step-by-Step Algorithm
This is an algorithm developed by European emergency physicians to identify low-risk
to identify low-risk ... treatment. http ... 92.0% and 46.9% #Diagnosis ... #Risk #Stratification ... #Fever
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
pneumonia • DM risk ... : • 80% have fever ... Intervention: - Fevers ... Lung Abscess Differential ... Abscess #pulmonary #differential
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
- Patients at risk ... placement - Other risk ... but rare triad: Fever ... imaging as needed Treatment ... Surgical drainage - Antibiotics
Debridement and Management of Prosthetic Joint Infection (PJI)
Duration of symptoms <3 weeks OR  <30 days
Staphylococci: 24wk for knees ... whether benefit > risk ... - Never “lifelong ... Initial 6-12wk antibiotic ... Joint #Infection #treatment
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
if other signs (fever ... small study, low-risk ... ß-blockers due to ↑ risk ... SBP • PPIs = ↑ risk ... #prophylaxis #treatment
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Triggers: ATRA treatment ... Attempt if high risk ... Subacute-Acute: • Common: fever ... initiation • Differential ... Renal Failure Treatment
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... inflammatory response Risk ... forefoot, ankles, knees ... 12-24 Hours • Fever ... drug failure • Risk