CRACKCast E167 – Pediatric Fever

CRACKCast & Physicians as Humans on CanadiEM

Core questions:

• List 10 non-infectious causes of fever in children

• List 3 bacterial pathogens responsible for infections in the following age groups

• 0-28 days

• 1-3 months

• 3-36 months

• > 3 yr

• List 5 tests to perform on CSF

• Describe the empiric management of fever in the neonate (0-28 days)

• Why is ceftriaxone not recommended for the neonate?

• Describe one of

• The Rochester criteria

• The Philadelphia criteria

• Define simple and complex febrile seizure. What are indications for LP?

• What is the likelihood of

• Recurrent febrile seizure after 1 st presentation

• Risk of epilepsy after first febrile seizure?

• List 6 causes of Fever and Petechiae

• Describe the criteria for the diagnosis of Toxic Shock Syndrome

• What sickle cell patients require prophylaxis and why? What Abx?

• List the Duke criteria for infective endocarditis.

Wisecracks:

• Provide a differential diagnosis for fever (review question)

• Which patients are excluded from the Rochester Criteria?

• What are the low-risk Rochester Criteria, and how are these children managed?

• Which age groups should always have a urinalysis when presenting with fever without source?

• Which children should have a CXR to r/o pneumonia in the setting of fever without source?