Feverish child

Question 1

outline the table for risk assessing children

Answer 1

Question 2

how should all infants < 3 months with fever >38 be treated?

Answer 2

as per sepsis until proven otherwise

Question 3

immediate Mx of sepsis?

Answer 3

take 3:

• bloods
• blood cultures
  
  • urine dipstick- send for mc&s

give 3:

• oxygen - if sats <94%
• fluids
• Abx

Question 4

What is mandatory in all feverish children?

Answer 4

clean catch urine dipstick

Question 5

treatment of meningitis in community?

Answer 5

IV/IM BenPen

Question 6

treatment of meningitis in hospital?

Answer 6

• < 3 months: cefotaxime plus amoxicillin
• >3 months: ceftriaxone

vancomycin should be added if risk of penicillin resistant pneumococcal infection

Question 7

complications of meningitis?

Answer 7

• hearing loss
• cerebral palsy

Question 8

aetiology of meningococcal septicaemia?

Answer 8

neisseria meningitidis

Question 9

presentation of meningococcal septicaemia?

Answer 9

• non-blanching petechiae/purpura
• fever
• may be associated w meningeal signs

Question 10

chemoprophylaxis for contacts of pt with meningococcal septicaemia- who have been in contact for 7 days prior to onset?

Answer 10

single dose ciprofloxacin

Question 11

most common aetiology of encephalitis in kids and neonates?

Answer 11

• kids- HSV type 1 (cold sores)
• neonates- HSV type 2 (genital warts, contracted during birth)

Question 12

Mx of encephalitis in kids?

Answer 12

suspected–> Aciclovir right away

HSV & VZV: Aciclovir

CMV: Ganciclovir