Fever

Question 1

serious in…

Answer 1

child who looks toxic, lethargic, dehydrated

Question 2

daily pattern

Answer 2

fevers spike in evening/night, may be low in am and spike again

Question 3

newborn fever

Answer 3

> 100.4 rectal requires hospital management

Question 4

1-3 mos with fever: hospital criteria

Answer 4

low risk if: 
-don't appear toxic
-previously healthy
-no signs of skin, bone infxn
WBCs between 5000-15,000

Question 5

3mos - 3 years

Answer 5

physician involvement if >102.2F rectal

**do they seem toxic?

Question 6

3 years +

Answer 6

toxic appearance more important than temp

**do not need to give Tylenol to suppress, regardless of #…

Question 7

PEs for fever

Answer 7

adjust resp rate
skin- color, rash, mottling
UA
TMs may be red from crying or fever..does not automatically equal OM

Question 8

Fever of Unknown Origin

Answer 8

after you have asked all the obvious…

• PMHx of UTI or pneumo?
• FHx of TB, immune def, hep, HIV
• cat scratches? travel/malaria?
• change in behavior (TB, EBV, Rocky Mtn)
• meds/poison?
• consider: Kawasaki, herpes, Lyme, CVD, CA
• aaaand it may just be a UTI

Question 9

Febrile Seizures

Answer 9

tonic-clonic
from rapidly increasing fever
Refer to hospital, though no Tx needed

Question 10

Febrile Seizures PARQ

Answer 10

more likely to happen again

resolve by age 8