Tag fever

Osteomyelitis in Kids

In the past we have discussed how prolonged fever in the Pediatric Patient should cause you to think “outside of the box.”  Kawasaki Disease often comes to mind.  Naturally malignancy should also be considered and a thorough history (any Back…

Round Pneumonia

We have previously discussed Pediatric Pneumonia (and why I still live outside in the dog house).  We all commonly assess the pediatric CXR and need to be skilled in its interpretation; but have you ever looked at a CXR of…

Delayed Diagnosis of Kawasaki Disease

  Vigilance can be the most difficult part of our job.  After being inundated with kids who have all started back to school and swapped their various viruses with one another and now have new fevers (after having just got…

Hyperpyrexia

It is often said that fever never goes unnoticed by parents. I think most of us would agree with that and that there seems to be a direct correlation between the level of parental concern and the level of elevation…

Relative Bradycardia

Relative Bradycardia There are several things that Jay-Z and I have in common, but one that might not be obvious is our mutual love for Big Pimping! Now, I realize that “pimping” residents and medical students has gone out of…

UTI and Duration of Fever

UTI and Duration of Illness

The modern era of vaccinations (Prevnar and HiB) have drastically reduced the risk of serious bacterial infections in our young febrile patients.  But, unfortunately, Urinary Tract Infections (UTI) are not affected by the modern vaccines and, therefore must still be…