491422
Beschreibung
Mindmap von v.djabatey, aktualisiert more than 1 year ago
|
Erstellt von v.djabatey
vor mehr als 10 Jahre
|
|
Diagnostic clues to
evaluating the febrile
child
- URTI
- very common
- may be
coincidental w/
another serious
illness
- very common
- otitis media
- always examine tympanic mb in febrile kids
- always examine tympanic mb in febrile kids
- tonsillitis
- erythema/exudate on tonsils?
- erythema/exudate on tonsils?
- stridor
- epiglottitis?
- viral
croup?
- bacterial tracheitis
- epiglottitis?
- pneumonia
- fever
- cough
- raised resp rate
- chest recession
- abnormal auscultation
- in infants auscultation may be normal
- diag may need CXR
- diag may need CXR
- in infants auscultation may be normal
- fever
- septicaemia
- hard to
recog if no
rash before
shock
develops
- early signs
- raised HR
- raised breathing rate
- poor perfusion
- raised HR
- need to start Abx on clinical suspicion
- don't wait for results
- don't wait for results
- hard to
recog if no
rash before
shock
develops
- meningitis/encephalitis
- lethargy
- loss of
interest in
surroundings
- drowsiness
or coma
- seizures
- older
kids
- headache
- photophobia
- neck stiffness
- +ve Kernig sign
- pain on leg straightening
- pain on leg straightening
- headache
- younger
kids &
infants
- non-specific
sx & signs
- non-specific
sx & signs
- raised ICP
- reduced
conscious
level
- abnormal
pupillary
responses
- abnormal posturing
- reduced
conscious
level
- Cushing triad
- bradycardia
- hypertension
- abnormal pattern of breathing
- bradycardia
- late signs
- papilloedema
- bulging fontanelle in infants
- opisthotonus
- hyperextension of head & back
- hyperextension of head & back
- papilloedema
- lethargy
- seizure
- febrile convulsion?
- meningitis?
- encephalitis?
- febrile convulsion?
- periorbital cellulitis
- redness & swelling of eyelids
- may spread to orbit
- redness & swelling of eyelids
- rash
- viral exanthem?
- purpura from
meningococcal
infection
- viral exanthem?
- UTI
- urine sample needed for any seriously ill young child or febrile illness that doesn't settle
- urine sample needed for any seriously ill young child or febrile illness that doesn't settle
- abdominal pain
- appendicitis?
- pyelonephritis?
- hepatitis?
- appendicitis?
- diarrhoea
- gastroenteritis
- fever w/ blood & mucus in stool
- Shigella
- Salmonella
- Campylobacter
- Shigella
- gastroenteritis
- osteomyelitis or septic arthritis
- suspect if painful bone or joint
- or reluctance to move limb
- or reluctance to move limb
- suspect if painful bone or joint
- prolonged fever
- bacterial infection
- UTI
- bacterial endocarditis
- UTI
- other infections
- viral
- fungi
- protozoal
- viral
- Kawasaki disease
- drug rxn
- malignant disease
- connective tissue disorder
- bacterial infection
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