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
pyelonephritis
physical exam cbc electrolytes blood culture LP- CSF analysis cxr ua urine culture
2
Q
3yo M presents with a 2 day history of fever and pulling on his right ear. He is otherwise , and his immunization are up to date. His older sister recently had a cold. The child attends a day care center.
A
ACUTE OTITIS MEDIA
URI
meningits
pyelonephritis
physical exam cbc blood culture tympanocentesis culture LP ua urine culture
3
Q
12 month old M presents with fever for the past 2 days accompanied by a maculopapular rash on his face and body. He has not yet received the MMR vaccine.
A
MEASLES (or other viral exanthems) rubella roseola fifth disease varicella scarlet fever meningitis
physical exam cbc viral antibodies/titers throat swab for culture LP
4
Q
4yo 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
