Copy and Edit

Diagnostic clues to evaluating the febrile child

Description

Infection & Immunity, Specials Mind Map on Diagnostic clues to evaluating the febrile child, created by v.djabatey on 18/01/2014.
v.djabatey
Mind Map by v.djabatey, updated more than 1 year ago
v.djabatey
Created by v.djabatey almost 11 years ago
28
0
0

Resource summary

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

                                                                                                                          Want to create your own Mind Maps for free with GoConqr? Learn more.

                                                                                                                          Similar

                                                                                                                          other childhood skin disorders
                                                                                                                          v.djabatey
                                                                                                                          skin disorders in newborn
                                                                                                                          v.djabatey
                                                                                                                          Rashes of infancy
                                                                                                                          v.djabatey
                                                                                                                          rashes & systemic disease
                                                                                                                          v.djabatey
                                                                                                                          Assessing the febrile child-Consider...
                                                                                                                          v.djabatey
                                                                                                                          Rates of Reaction
                                                                                                                          Evie Papanicola
                                                                                                                          AS Biology- OCR- Module 1 Cells Specification Analysis and Notes
                                                                                                                          Laura Perry
                                                                                                                          Cell Structure
                                                                                                                          megan.radcliffe16
                                                                                                                          Physical Description
                                                                                                                          Mónica Rodríguez
                                                                                                                          Chemistry 2
                                                                                                                          Peter Hoskins
                                                                                                                          Using GoConqr to study English literature
                                                                                                                          Sarah Egan
                                                                                                                          Browse Library