Fever Flashcards
What is a complication of Kawasaki?
Coronary artery aneurysm
How common are viral URTI?
Occur up to 6-8 times a year
How is a bacterial tonsillitis managed?
Phenoxynmethylpenicillin 10 days
What is contraindicated in EBV?
Amoxicillin because of maculopapular rash
Do a Paul Bunnell test
When is a tonsilectomy indicated?
Over 7 times in one year
Over 5 times per year in two years
Over 3 times per year over three years
What is the FeverPain score?
Fever
Exudate
Absence of cough
Three days
Huge tonsils
Adenopathy
What is the Paradise criteria?
7, 5, 3
What is the Centor score?
What are the most common infections in young children?
Otitis media
Pharyngitis
Urinary tract infections
Give some causes of persistent fever.
Occult abcess
Atypical pneumonia
Hepatitis
UTI
Osteomyelitis
HIV infection
Infectious mononucleosis
Tuberculosis
Infective endocarditis
IBD
Neoplastic syndrome
Collagen vascular disease
What is PUO?
Prolonged fever more than 1 week in babies or 2-3 weeks in adolescence. Blood cultures should be taken when the fever spikes.
What causes strep viridians?
Dental procedure
What are the features of infective endocarditis?
Vascular - Roth spots, Janeway lesions, Osler nodes, splinter haemorrhages
Immunological
Microbiological
Temperature
Observing an echo
How is infective endocarditis managed?
Antibiotics are given for 6 weeks
How is osteomyelitis treated in children?
Changes become apparent after 10 days
High dose antibiotics for six weeks.