Infectious Diseases, “Answers”
Although there are no prospective randomized controlled trials looking specifically at ED patients with UTI symptoms, it is safe to say that a urine culture in healthy adult non-pregnant females with new onset urinary symptoms without concern for pyelonephritis or bacteraemia is unlikely to change management or outcome… SO STOP ORDERING THEM
Fever of Unknown Origin (FUO) In Paeds
Fever lasting longer than 8 days without a source…now what…
Cancer Emergencies
Leukostasis occurs with WBC count greater than 50,000 with symptoms (usually 100,000), predominantly pulmonary and neurologic symptoms.80% of patients will have fever, so treat for infection concurrently. Chemotherapy is the only treatment that decreases mortality, but if not available, leukopheresis is the next step. Neutropenic fever is defined as a single oral temperature greater than […]
When your child (> 6 months) is burning up…
“Fever is not a disease. It is merely the child’s immune system APPROPRIATELY responding to an infectious process which is viral the majority of the time.” “We treat fever with anti-pyretics because it makes the child feel bad, not because fever in and of itself is bad.” “The “number” on the thermometer is not nearly […]
Mama boi, a Simple Febrile Seizure is…
The febrile HIV patient…
In the febrile HIV patient, there are many diagnostic dilemmas and potential life-threatening disease processes which make the diagnosis and treatment difficult.
When giving paracetamol up the bum, get the dose right
The “loading” dose of rectal acetaminophen is 40 mg/kg followed by 20 mg/kg doses every 6 h.
The evidence behind treating fever in children
Antipyretics don’t appear to lengthen duration of fever in ill children Antipyretics an be combined for effect, but to what end? Antipyretics don’t appear to decrease risk of febrile seizure recurrence Fever: Not your enemy!
