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management peds algorithm antibiotics febrile infant lp stepbystep stratification summary arthritis blastomycosis brain clinical coccidioides coccidioidomycosis crypto cryptococcal disease ebm
“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
Septic Arthritis - Diagnosis and Management Summary Clinical Exam: hot, swollen, pain with passive AND active ROM
active ROM +/- fever ... viral arthritis Workup ... Treatment: admission ... 90% sensitive in pediatrics ... patient admitted for treatment
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
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 ... Farmer and forestry work ... The Disease: • Pulmonary ... fluid, BAL, CSF, urine ... Treatment:
Coccidioidomycosis (Coccidioides): Valley Fever - Summary Sheet • Morphology • Geography, Reservoir and Mode of Transmission
Coccidioides): Valley Fever ... or excavation work ... Americans at higher risk ... prostate • Diagnosis ... disease: no treatment
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
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