7 results
“Step by Step” – the new kid on the block – aims to risk stratify this
investigations and treatments ... an infant with fever ... leukocytes in urine ... CRP < 20 mg/L #Diagnosis ... #Management #Pediatrics
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
old on day ≥7 of fever ... 15,000/mm3, and urine ... echo is positive, treatment ... #Diagnosis #Peds ... #Pediatrics #Kawasaki
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
respiratory symptoms • Fever ... MUCORMYCOSIS • Risk ... Encapsulated yeast • At risk ... • Isolated fever ... ) #Mycoses #InfectiousDiseases
Pediatrics Sepsis Screening
SIGNS OF INFECTION?
 • Fever (>38C)
 • Hypothermia (<36C)
 • Cough/chest pain/respiratory distress
 •
Pediatrics Sepsis ... • Fever (>38C) ... • ↓ feeding, ↓ urine ... Sepsis #Screening #Pediatrics ... #peds #diagnosis
The Febrile Infant Step-by-Step Algorithm
This is an algorithm developed by European emergency physicians to identify low-risk
to identify low-risk ... empiric antibiotic treatment ... 92.0% and 46.9% #Diagnosis ... EBM #Management #Pediatrics ... Stratification #Fever
Blastomycosis Summary

Pathogen: 
 • Dimorphic fungus - Blastomyces dermatitidis or Blastomyces gilchristii.
 • The fungus lives
Nelson River Risk ... The Disease: • Pulmonary ... fluid, BAL, CSF, urine ... Treatment: ... #infectiousdiseases
Cryptococcal meningitis on T2 MRI
30 M from sub-Saharan Africa presents w/ progressive Headache x1 mo, +neck
Diagnosis? ... of prior silent pulmonary ... are common but fever ... Standard treatment ... of K+ & Mg in urine