11 results
Diagnostic Testing for Meningitis
History:
 • Triad: Fever, neck stiffness, and altered mental status
 • Sens: 44%
History: • Triad: Fever ... mental status • Sens ... or extension • Sens ... will flex • Sens ... #Sensitivity #Specificity
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
uncharacterized fevers ... Urinalysis: LE 75% specificity ... , Nitrites 97% specificity ... Diagnosis #Peds #EM ... Classification #Fever
Algorithm for the differentiation between simple and complex febrile seizures. Guidelines for evaluation of each. #Diagnosis
Algorithm for the ... Diagnosis #Management #EM ... FebrileSeizure #Fever ... #Seizure #Algorithm
ID Approach to Fever and Rash - Diagnostic Algorithm
Central Maculopapular (most common):
Measles, Parvovirus 819 / EBV,
ID Approach to Fever ... Rash - Diagnostic Algorithm ... Secondary syphilis, EM ... Viral hemorrhagic fevers ... Febrile #Diagnosis #Algorithm
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 • Pathogens:
Sensitivity & Specificity ... - Serum BDG: Sens ... 96% - Higher specificity ... Sensitivity & Specificity ... post-2010 almost never
1,3-Beta-D-Glucan and Galactomannan Testing Sensitivity Specificity and False Positives
1,3-Beta-D-Glucan
 • Cell wall component of many fungi
Testing Sensitivity Specificity ... Pos (>80) • Sens ... 96% • Higher specificity ... positive with: Sens ... post-2010 almost never
Hunter's Decision Rule (Sensitivity 84%, Specificity 97%), Sternbach's criteria - Need 3 of 10 symptoms: (Sensitivity
Sensitivity 84%, Specificity ... Sensitivity 75%, specificity ... 96%) #Diagnosis #EM ... Syndrome #Hunters #Algorithm
Evaluation and Management of Pediatric Fever #Diagnosis #Management #EM #Peds #Fever #Workup #Evaluation #Discharge #Admission #Algorithm
Management of Pediatric Fever ... Diagnosis #Management #EM ... #Peds #Fever #Workup ... Discharge #Admission #Algorithm
Spinal Epidural Abscess - Classic triad (back pain + fever + neuro deficits) found in only
triad (back pain + fever ... 13% #Diagnosis #EM ... Epidural #Abscess #Algorithm
Pediatric Fever Without a Source - 3 months to 3 years - Additional Workup Beyond Urine
Pediatric Fever ... Management #Peds #EM ... #Workup #Algorithm