CHILD WITH FEVER

Question 1

Neonatal sepsis DDx:

3

Answer 1

1. Meningitis.
2. Pneumonia.
3. Pyelonephritis.

Question 2

Neonatal sepsis workup:

7

Answer 2

1. Physical exam.
2. CBC.
3. Electrolytes.
4. Blood culture.
5. LP-CSF analysis.
6. CXR.
7. UA, urine culture.

Question 3

Acute otitis media DDx:

3

Answer 3

1. URI.
2. Meningitis.
3. Pyelonephritis.

Question 4

Acute otitis media workup:

6

Answer 4

1. Physical exam (including pneumatic otoscopy).
2. CBC.
3. Blood culture.
4. Tympanocentesis culture.
5. LP-CSF analysis.
6. UA, urine culture.

Question 5

Measles (or other viral exanthem) DDx:

6

Answer 5

1. Rubella.
2. Roseola.
3. 5th disease.
4. VZV.
5. Scarlet fever.
6. Meningitis.

Question 6

Measles (or other viral exanthem) workup:

5

Answer 6

1. Physical exam.
2. CBC.
3. Viral antibodies/titers.
4. Throat swab for culture.
5. LP-CSF analysis.

Question 7

Gastroenteritis (viral, bacterial, parasitic) DDx:

5

Answer 7

1. Food poisoning.
2. UTI.
3. URI.
4. Volvulus.
5. Intussusception.

Question 8

Gastroenteritis (viral, bacterial, parasitic) workup:

6

Answer 8

1. Physical exam.
2. Stool exam and culture.
3. CBC.
4. Electrolytes.
5. UA, urine culture.
6. AXR.