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Fever, Pediatric

Nathan Mick, David A. Peak
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BASICS

  • Description
  • Etiology

DIAGNOSIS

  • Signs and Symptoms
  • Essential Workup
  • Tests
  • Differential Diagnosis

TREATMENT

  • Pre-hospital
  • Initial Stabilization
  • ED Treatment
  • Medication (Drugs)
  • In-patient Considerations

ONGOING CARE

  • Follow-Up Recommendations
The following is an excerpt....
BASICS
Description
  • Fever is defined as a temperature of 38°C (100.4°F) rectally:
    • Oral and tympanic temperatures are generally 0.6–1.0°C lower.
  • Tympanic temperatures are not accurate in children younger than 6 mo.
  • Axillary temperatures are generally unreliable.
  • Children who are afebrile but have a reliable history of documented fever should be considered to be febrile to the degree reported.
Etiology
  • Bacteremia (Haemophilus influenzae type B, Streptococcus pneumoniae), viral illness, often accompanied by exanthem (varicella, roseola, rubella), coxsackievirus (hand-foot-mouth disease), abscess:
    • Haemophilus influenzae type B and Streptococcus pneumoniae vaccines have reduced incidence of Haemophilus and pneumococcal disease
  • CNS: Meningitis, encephalitis
  • Head, eyes, ears, neck and throat (HEENT): Otitis media, facial cellulitis, orbital/periorbital ...
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