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

#Diagnosis #Management #Pediatrics #Peds #Febrile #Infant #StepByStep #Algorithm #LP
Infants #Diagnosis ... #StepByStep #Algorithm ... #LP #Antibiotics ... #Risk #Stratification ... #Fever #RebelEM
“Step by Step” – the new kid on the block – aims to risk stratify this
CRP < 20 mg/L #Diagnosis ... Management #Pediatrics #Peds ... #Febrile #Infant ... #LP #Antibiotics ... #Fever
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
Illness (SBI): 1) ... uncharacterized fevers ... with LP Meningitis ... particularly complex febrile ... #Peds #EM #Classification
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Leptospirosis Pel-Ebstein ... Fever: Fever 1 ... F rise in temp, ... #Differential #Diagnosis
The Febrile Infant Step-by-Step Algorithm
This is an algorithm developed by European emergency physicians to identify low-risk
92.0% and 46.9% #Diagnosis ... #EBM #Management ... #Pediatrics #Peds ... #LP #Antibiotics ... #Fever
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Attempt if high risk ... : • Common: fever ... febrile neutrophilic ... symptoms, or> 1 ... fluid overload, PCC
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... Assess functional ... > 1% risk of CV ... event, follow ACC algorithm ... stratification #diagnosis
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
on ABx) → Acute ... Diarrhea (>3 BM ... mucus, Abd pain, Fever ... Epidemiology: • #1 ... 10 mg/kg IV x 1