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

#Diagnosis #Management #Pediatrics #Peds #Febrile #Infant #StepByStep #Algorithm #LP
Febrile Infants #Diagnosis ... Febrile #Infant #StepByStep ... Stratification #Fever
Step by Step Algorithmic Approach to Pediatric Fever

Age < 21 days old (or 28 days for
Approach to Pediatric Fever ... Pediatrics #Peds #Diagnosis ... #Management #StepByStep ... Algorithm #Infant #Fever
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Dissociation Causes ... • Infectious Causes ... Non-Infectious Causes ... #differential #diagnosis ... #causes
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
BPM INFECTIOUS CAUSES ... OTHER CAUSES ... There are specific cases ... #Dissociation #diagnosis ... #differential #causes
Causes of Relative Bradycardia - Note the propensity for intracellular organisms.
Infectious: 
Legionella, Psittacosis, Q fever, Typhoid
Causes of Relative ... , Typhoid fever, ... , Dengue fever, ... #bradycardia #Causes ... #differential #diagnosis
Dengue Fever - Diagnosis and Management Summary 
Dengue Fever → Dengue Hemorrhagic Fever →Dengue Hemorrhagic Shock
Dengue Fever - Diagnosis ... Rash, Vomiting, Positive ... pain, Myalgia Diagnosis ... 7 days (Ig)M Treatment ... #Diagnosis #Management
“Step by Step” – the new kid on the block – aims to risk stratify this
investigations and treatments ... an infant with fever ... CRP < 20 mg/L #Diagnosis ... Febrile #Infant #StepByStep ... Stratification #Fever
Pneumocystis jirovecii Pneumonia 
Clinical 
 • Caused by Pneumocystis jirovecii (formerly carinil) 
 • Immunocompromised host
Clinical • Caused ... • Seen in HIV positive ... 2—3 weeks • Fever ... often elevated Treatment ... PJP #Pneumonia #Diagnosis
Causes of Fever by System #Diagnosis #EM #IM #Fever #Differential #Ddxof
Causes of Fever ... by System #Diagnosis ... #EM #IM #Fever
Fever vs Hyperthermia
Fever:
 • Regulated in the hypothalamic thermoregulatory center
 • "Set point" raised by prostaglandin
Fever vs Hyperthermia ... Fever: • Regulated ... production • Treatment ... rapidly fatal • Causes ... Hyperthermia #comparison #diagnosis