Fever

Question 0

Questions for patient/parent

Answer 0

Temperature and how was it taken
any contact with sick persons? anyone in household sick?
is patient tolerating liquids?
significant past medical history?

Question 1

Symptoms

Answer 1

Nausea / vomiting
diarrhea
irritability
cough
rash 
rhinorrhea
sore throat
abd pain
ear pain

Question 2

PE for fever

Answer 2

Gen: irritable, inconsolable
HEENT - eyes for mucus dc, TMs for erythema and bulging, facial tenderness, nasal dc, mucus membranes moist, if teeth check for cavities gingival swelling abscess, tonsillar exudate erythema.
Heart -
Chest - pneumonia, wheezing, crackles, bronchitis
Abdomen - BSs, masses, HSM
Musculoskeletal - Inspect all joints for swelling and erythema
Skin - ecccymosis, macules, papules, petichia, vesicles.
Neuro - meningeal signs, nuchal rigidity, Kernig’s sign orr Brudzinski sign.

Question 3

Labs and diagnostics

Answer 3

CBC, UA, Blood Cultures,

CXR, Stool Studies

Question 4

Diagnosis

Answer 4

Fever >100.4
No identifiable cause. consider high risk. Hospitalize if < 3mo old.
secondary to infection, inflammation, ingestion, malignancy.

Question 5

Treatment

Answer 5

If not high risk treat with empiric abx therapy. Antipyretic therapy.