CHILD WITH FEVER Flashcards
1
Q
20-day-old M presents with fever,
decreased breast-feeding, and lethargy.
He was born at 36 weeks as a result of
premature rupture of membranes.
A
Neonatal sepsis
Meningitis
Pneumonia
UTI
Physical exam CBC, electrolytes UA Urine culture Blood culture CXR LP—CSF analysis
2
Q
3 yo M presents with a two-day history of fever and pulling on his right ear. He is otherwise healthy, and his immunizations are up to date. His older sister recently had a cold. The child attends a day care center.
A
Acute otitis media
URI
Meningitis
UTI
Physical exam (including
pneumatic otoscopy)
CBC
UA
3
Q
12-month-old M presents with fever for the last two days accompanied by a maculopapular rash on his face and body. He has not yet received the MMR vaccine.
A
Measles (or other viral exanthem) Rubella Roseola Fifth disease Varicella Scarlet fever Meningitis
Physical exam CBC Viral antibodies/titers Throat swab for culture LP
4
Q
4 yo M presents with diarrhea, vomiting,
lethargy, weakness, and fever. The child
attends a day care center where several
children have had similar symptoms.
A
Gastroenteritis (viral, bacterial, parasitic) Food poisoning UTI URI Volvulus Intussusception
Physical exam Stool exam and culture CBC Electrolytes UA, urine culture AXR
