10: 6-month-old female with a fever Flashcards
What type of vaccines produce a potential fever within a few days of immunization?
Inert vaccines
What type of vaccines produce a potential fever 6-14 days after immunization?
Live attenuated vaccines
What are 2 examples of inert vaccines?
- DTaP
2. PCV-13
What are 2 examples of live attenuated vaccines?
- MMR
2. Varicella
Which type of meningitis has the following CSF findings?
Glucose: low Protein: high WBC: high PMN's \+ or - Gm stain
Bacterial
Which type of meningitis has the following CSF findings?
Glucose: normal Protein: high or normal WBC: high Lymphs - Gm stain
Viral
Does a normal UTI with a fever need to be treated with IV?
No
In a child who has not recently been on antibiotics, what is the most common pathogen that causes pyelonephritis in kids?
E. Coli
What are the 4 most common pathogens that cause UTI in kids?
- E. Coli
- Klebsiella
- Proteus
- Enterococcus
What are 2 IV antibiotic options for pyelonephritis in kids?
- Ampicillin/gentamicin
2. Ceftriaxone
What are 2 good oral antibiotic options for pyelonephritis in kids?
- Cephalexin (Keflex)
2. TMP-SMX
When do you use Nitrofurantoin?
Cystitis
What’s the most likely cause of SBI?
UTI
What are the 4 initial workups for fever without a source?
- Urinalysis/culture
- CBC w/ diff
- Blood culture
- Lumbar puncture
What does a positive nitrite indicate?
Presence of bacteria in urine
What does a positive leukocyte esterase test indicate?
Presence of WBC in urine
What’s the sensitivity/specificity of a nitrite test?
Sensitivity is poor; specificity good
When would you use an US of kidneys/bladder?
Renal structure and dilation of collecting system
When would you use a voiding cystourethrogram (VCUG)?
To check for vesicoureteral reflux, or after a second febrile UTI
What disease might cause cough, tachypnea, fever, rales, or low SaO2?
Pneumonia
What disease starts with a high fever for 3-5 days and then a rash?
Roseola (HHV-6)
