Child with fever Flashcards
1
Q
Key history in child with fever
A
Severity, duration, associated localizing symptoms, appetite, rash, sick contacts, day care, immunizations,
past history
2
Q
Key physical exam in child with fever
A
Vital signs; HEENT, neck, heart, lung, abdominal, and skin exams
3
Q
20-day-old M with fever, decreased breast-feeding and lethargy
+ born at 36 weeks due to premature rupture of membranes
A
Neonatal sepsis
Meningitis
Pneumonia
Pyelonephritis
Physical exam CBC, electrolytes UA and urine culture Blood culture CXR LP—CSF analysis
4
Q
3 yo M with two-day Hx of fever and pulling on R ear \+ otherwise healthy \+ immunizations up to date \+ older sister recently had a cold \+ attends day care
A
Acute otitis media
URI
Meningitis
Pyelonephritis
Physical exam (including pneumatic otoscopy) CBC Blood culture Tympanocentesis culture LP—CSF analysis UA and urine culture
5
Q
12 month-old M with fever over last two days
+ maculopapular rash on face and body
+ has not yet received 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—CSF analysis
6
Q
4 yo M with diarrhea, vomiting, lethargy, weakness and fever
+ attends day care center where other children have similar symptoms
A
Gastroenteritis (viral, bacterial, parasitic) Food poisoning UTI URI Volvulus Intussusception
Physical exam Stool exam and culture CBC Electrolytes UA and urine culture AXR
