Trigger febrile illnesses

Question 1

what labs are you immediatly ordering in a child that is 22-60 days old and they come in w a fever

Answer 1

• ANC, CRP, procalcitonin
• UA
• Blood cultures

Question 2

what is considered a FUO

Answer 2

fever>101 for >8 days w no apparent diagnosis

Question 3

if a child has a febrile seizure what labs should you consider ordering

Answer 3

• CBC, CMP, blood cultures
• LP if under 6mo

can be first indicator of meningitis/encephalitis but usually benign

Question 4

what are the risk factors for bacterial sepsis in a newborn

Answer 4

• chorioamionitis or Maternal GBS
• maternal temp of 100.4+
• PROM 18+ hrs
• prematurity

Question 5

tx for early vs late bacterial sepsis in a newborn

Answer 5

• early = amp + (gent or cefotaxime)
• late (7+ days after birth) = amp + (gent or cefotaxime) + vanc

Question 6

what age group do you start empiric acyclovir in if you are working them up for viral meningitis

Answer 6

inants <1 month

Question 7

what is the indication for giving steroids prior to abx for bacterial meningitis? also, what are the abx?

Answer 7

• steroids if no hx of HiB vaccine
• vanc + (rocephin or cefotaxime)

Question 8

how do you treat pneumococcal meningitis

Answer 8

Vanc + (rocephin or cefotaxime) + PCN G

N meningitidis treated like this too i think

Question 9

URI w bilateral conjunctivitis. preauricular LAD present and foreign body sensation in eye.

Answer 9

pharyngoconjunctival fever

Question 10

bilateral conjunctivitis with yperemia, watery discharge, eyelid swelling and ptosis.

Answer 10

epidemic keratoconjunctivitis

swelling and ptosis gves it away

Question 11

when do you use Olopatadine BID and what is it

Answer 11

eye drops for allergic conjunctivitis
antihistamine and mast cell stabilizer

atopic, vernal, and allergic are all treated the same.

Question 12

giant papillae of the upper tarsal conjunctiva with white dots, ptosis and keratitis.

Answer 12

vernal keratoconjunctivitis

Question 13

tx for vernal keratoconjunctivitis

Answer 13

olopatadine drops

prednisone if severe

Question 14

how do you treat atopic conjunctivitis

Answer 14

olopatadine

oral prednisone if severe

Question 15

what are indications to treat a pt >24mo for AOM w abx

Answer 15

48 hrs of ear pain, fever or otorrhea

Question 16

if a patient has tubes and an AOM infection but they dont have systemic symptoms what is the tx

Answer 16

ciprodex or ofloxacin drops

Question 17

A linear pattern of ulcers with erythematous halos on the anterior tonsillar pillars, soft palate, and uvula with none on the anterior mouth

Answer 17

herpangina

Question 18

how do you treat pertussis

Answer 18

a macrolide

bactrim if allergic
azithromycin first line in <1

Question 19

complications of this disease are arthritis and aplastic anemia

Answer 19

fifths disease/parvo/slapped cheeks

Question 20

fever FOLLOWED by a rash

Answer 20

roseola infantum

MC 6 mo to 3 yrs