Pediatric Fever
The preferred method for measuring core temperature in a young infant in the ED.
What is a rectal temperature?
This disease MUST be eliminated in all returning travellers with fever.
What is malaria?
Asplenic individuals are most susceptible to this category of bacteria.
What are encapsulated organisms?
These are cutaneous manifestations of endocarditis (name 2).
What are janeway lesions, osler's nodes, (oral) petechiae, splinter hemorrhages?
A patient recently started on amitryptilline presents with agitation and diaphoresis, and her temperature is 40.1. This is the most likely diagnosis.
Serotonin syndrome
This lab marker is necessary to stratify risk in a febrile infant, but is otherwise fairly rarely ordered in the ED.
What is procalcitonin?
This species of parasite is responsible for the majority of cases of malaria.
What is plasmodium falciparum?
This absolute neutrophil count defines severe neutropenia and substantially increases the risk of life-threatening infection.
What is ANC<500 cells/uL?
Order this diagnostic test in a patient with chronic LBP who recently underwent an epidural steroid injection presents with fever and worsening low back pain.
What is an MRI of the whole spine?
A patient presents with fever, tachycardia, urinary retention, and dry skin. There is no clonus or hyperreflexia. This presentation is likely due to blockade of this neurotransmitter.
What is acetylcholine?
What is listeria?
This is your most concerning diagnosis in a patient returning from Bolivia with fever, epistaxis, and petechiae.
What is Dengue Fever?
Along with a CD4 count of <200, having one of these conditions is considered "AIDS-defining" in a patient with HIV.
What is toxoplasmosis, histoplasmosis, PJP, esophageal or pulmonary candidiasis, kaposi sarcoma, tuberculosis, CMV?
EndOcarditis prophylaxis (keflex 2g PO x1)
What is Iodine (lugol's solution, iodine contrast, amiodarone)?
The most feared complication of untreated Kawasaki disease.
What are coronary artery aneurysms?
Order repeat blood smears at this time interval if initial smears are negative but suspicion for malaria remains high.
What is 12-24 hours
Three indications for adding MRSA coverage (vancomycin) to febrile neutropenia regimen.
What are 1) known MRSA+, 2) clinical signs of central line infection, 3) septic shock
+/- recent hospitalization, recent antibiotics
Consider this particular bacteria as a cause of osteomyelitis in someone who has stepped on a nail through their sandal.
What is pseudomonas?
This hallucinogenic drug notoriously enjoyed by a 1960s British rock band can occasionally cause serotonin syndrome, especially if combined with other SSRIs or amphetamines.
What is LSD (lysergic acid diethylamide)?
These are 4 features of SIMPLE febrile seizures.
What is 1) seizure <15 minutes, 2) general tonic-clonic, 3), rapid return to baseline, 4) no recurrence in 24h?
This characteristic finding might be found on the blood smear of someone who was bitten by a tick in Milwaukee, Wisconsin.
What are maltese crosses?
Name 3 indications for admission/ inpatient management of febrile neutropenia (other than covering MRSA with vanco IV).
ANC < 0.1, CISNE score >=3, stem cell rceipient, AML/MDS, clinically unstable, underlying COPD, new pulmonary infiltrate, unable to tolerate PO, renal or liver failure
Consider this acute GI condition in a patient with endocarditis presenting with severe abdominal pain out of proportion to their physical exam.
What is acute mesenteric ischemia?
A surgical patient develops muscle rigidity, fever, tachycardia, and tachypnea upon transfer to the PACU, likely to be this etiology.
What is malignant hyperthermia?