Fever/Emergencies

Question 1

CRASH and Burn

Answer 1

Acronym for Kawasaki
Conjunctivitis
Rash (non-vesicular)
Adenopathy (cervical, unilateral)
Strawberry tongue (redness of oral mucosa, lips peeling)
Hands (swelling or erythema on hands or feet)
Burn - fever

Question 2

Difference between fever of unknown source vs unknown origin

Answer 2

Unknown source = <8 days without any obvious cause on Hx and PE
Unknown origin = > 8 days without any findings on diagnosis, visits and studies

Question 3

Non-infectious etiologies of fever:

Answer 3

Drugs, malignancy, immunization reaction, CNS dysfunction, Chronic inflammatory conditions

Question 4

Tooth eruption and immunizations do not generally cause fever - just increased body temperatures.

Question 5

SBI pathogens in <2mo and >2 mo

Answer 5

<2mo = GBS and E. Coli
>2 mo = strep pneumo, GBS, N meningitidnis, Hflu.

Question 6

What is MIS-C?

Answer 6

Multisystem-inflammatory syndrome in children.
Age <21 present with:
Fever, lab evidence of inflammation and multi-system illness requiring hospitalization AND no other plausible diagnosis AND recent COVID 19 infection w/in 4 weeks of onset.

Question 7

Age 8-61 days, fever work up begins with temperature ____ or above
Age 60-90 days, fever work up begins with temp of _____ or above.
>90 days fever work up begins with temp of ___ or above.

Answer 7

100.4
101.2
102.2