Fever in a Child Flashcards
1
Q
What is the cutoff for fever?
A
38 rectal
2
Q
What are the best ways to measure temperature?
A
Under 4 weeks - Electronic axilla
Over 4 weeks - Electronic axilla, tympanic
3
Q
Which bacteria are high risk in children? Why?
A
Strep pneumonia
Neisseria meningitidis
Haemophilus influenzae
4
Q
What’s the benefit of bringing the temperature down?
A
Symptomatic control only
5
Q
When does pyrexia cause brain damage?
A
43+
6
Q
For which strains of meningococcus do we vaccinate?
A
C - everyone
B - private, very expensive
7
Q
Which group of patients are highest risk of having a bacterial infection?
A
Less than 3 months old
Sick/toxic look - ambiguous
Fever is longer than 5 days
8
Q
When do you do an LP?
A
Any unwell child between 0-36 months
