Child with fever Flashcards Preview

Step 2 CS - Minicases > Child with fever > Flashcards

Flashcards in Child with fever Deck (6)
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1
Q

Key history in child with fever

A

Severity, duration, associated localizing symptoms, appetite, rash, sick contacts, day care, immunizations,
past history

2
Q

Key physical exam in child with fever

A

Vital signs; HEENT, neck, heart, lung, abdominal, and skin exams

3
Q

20-day-old M with fever, decreased breast-feeding and lethargy
+ born at 36 weeks due to premature rupture of membranes

A

Neonatal sepsis
Meningitis
Pneumonia
Pyelonephritis

Physical exam
CBC, electrolytes
UA and urine culture
Blood culture
CXR
LP—CSF analysis
4
Q
3 yo M with two-day Hx of fever and pulling on R ear
\+ otherwise healthy
\+ immunizations up to date
\+ older sister recently had a cold
\+ attends day care
A

Acute otitis media
URI
Meningitis
Pyelonephritis

Physical exam (including pneumatic otoscopy)
CBC
Blood culture
Tympanocentesis culture
LP—CSF analysis
UA and urine culture
5
Q

12 month-old M with fever over last two days
+ maculopapular rash on face and body
+ has not yet received MMR vaccine

A
Measles (or other viral exanthem)
Rubella
Roseola
Fifth disease
Varicella
Scarlet fever
Meningitis
Physical exam
CBC
Viral antibodies/titers
Throat swab for culture
LP—CSF analysis
6
Q

4 yo M with diarrhea, vomiting, lethargy, weakness and fever

+ attends day care center where other children have similar symptoms

A
Gastroenteritis (viral, bacterial, parasitic)
Food poisoning
UTI
URI
Volvulus
Intussusception
Physical exam
Stool exam and culture
CBC
Electrolytes
UA and urine culture
AXR