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

#Diagnosis #Management #Pediatrics #Peds #Febrile #Infant #StepByStep #Algorithm #LP
Management #Pediatrics #Peds ... Infant #StepByStep #Algorithm ... #LP #Antibiotics ... #Risk #Stratification
“Step by Step” – the new kid on the block – aims to risk stratify this
bacterial infections (SBI ... components of the algorithm ... Management #Pediatrics #Peds ... Infant #StepByStep #Algorithm ... #LP #Antibiotics
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... small study, low-risk ... Day 3 repeat paracentesis ... ß-blockers due to ↑ risk ... • PPIs = ↑ risk
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... hypertensive source • SBP ... suggests higher SBP ... risk. ... Control of ascites, ↑Risk
Orthostatic Hypotension - Management Algorithm
Positive orthostatic vital signs defined as one of the following (within 3
Hypotension - Management Algorithm ... standing): - ↓ SBP ... 20 mm Hg - ↓ DBP ... overloaded or at risk ... Hypotension #Management #Algorithm
Pediatric UTI Algorithm (2-24 months of age)

Risk stratify with UTI Calc: 
 - Age months
Pediatric UTI Algorithm ... months of age) Risk ... Pediatric #UTI #Algorithm ... UrinaryTractInfection #Peds ... #Risk #Stratification
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
Bacterial Illness (SBI ... common cause of SBI ... Diagnose with LP ... seizure) #Diagnosis #Peds ... Classification #Fever #SBI
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Assess for high risk ... Marfans, EDS ... deficit/differential BP ... reducing HR and BP ... NTG (Target SBP
Validation of the “Step-by-Step” Approach in the Management of Young Febrile Infants
Visual Abstract by Dr. Kirsty
27382134 #EBM #Peds ... VisualAbstract #StepByStep #Algorithm ... Febrile #Infant #Risk
Causes of Sudden Unexpected Death in Infancy (SUDI) - Differential Diagnosis Algorithm
Congenital Anomaly / Disorder:
 •
Differential Diagnosis Algorithm ... 80% of SUDI • Risk ... Differential #Diagnosis #Algorithm ... #Causes #Peds #