Trigger febrile illnesses Flashcards
what labs are you immediatly ordering in a child that is 22-60 days old and they come in w a fever
- ANC, CRP, procalcitonin
- UA
- Blood cultures
what is considered a FUO
fever>101 for >8 days w no apparent diagnosis
if a child has a febrile seizure what labs should you consider ordering
- CBC, CMP, blood cultures
- LP if under 6mo
can be first indicator of meningitis/encephalitis but usually benign
what are the risk factors for bacterial sepsis in a newborn
- chorioamionitis or Maternal GBS
- maternal temp of 100.4+
- PROM 18+ hrs
- prematurity
tx for early vs late bacterial sepsis in a newborn
- early = amp + (gent or cefotaxime)
- late (7+ days after birth) = amp + (gent or cefotaxime) + vanc
what age group do you start empiric acyclovir in if you are working them up for viral meningitis
inants <1 month
what is the indication for giving steroids prior to abx for bacterial meningitis? also, what are the abx?
- steroids if no hx of HiB vaccine
- vanc + (rocephin or cefotaxime)
how do you treat pneumococcal meningitis
Vanc + (rocephin or cefotaxime) + PCN G
N meningitidis treated like this too i think
URI w bilateral conjunctivitis. preauricular LAD present and foreign body sensation in eye.
pharyngoconjunctival fever
bilateral conjunctivitis with yperemia, watery discharge, eyelid swelling and ptosis.
epidemic keratoconjunctivitis
swelling and ptosis gves it away
when do you use Olopatadine BID and what is it
eye drops for allergic conjunctivitis
antihistamine and mast cell stabilizer
atopic, vernal, and allergic are all treated the same.
giant papillae of the upper tarsal conjunctiva with white dots, ptosis and keratitis.
vernal keratoconjunctivitis
tx for vernal keratoconjunctivitis
olopatadine drops
prednisone if severe
how do you treat atopic conjunctivitis
olopatadine
oral prednisone if severe
what are indications to treat a pt >24mo for AOM w abx
48 hrs of ear pain, fever or otorrhea
if a patient has tubes and an AOM infection but they dont have systemic symptoms what is the tx
ciprodex or ofloxacin drops
A linear pattern of ulcers with erythematous halos on the anterior tonsillar pillars, soft palate, and uvula with none on the anterior mouth
herpangina
how do you treat pertussis
a macrolide
bactrim if allergic
azithromycin first line in <1
complications of this disease are arthritis and aplastic anemia
fifths disease/parvo/slapped cheeks
fever FOLLOWED by a rash
roseola infantum
MC 6 mo to 3 yrs
