- 142.6k views
Approach to Fever in Pediatrics
Fever in pediatric patients is a common presenting symptom, and its evaluation requires a systematic approach. The first step in assessing a child with fever is to obtain a detailed history, including the onset, duration, associated symptoms, recent travel, immunization status, and exposure to sick contacts. Physical examination is crucial, focusing on vital signs, general appearance, skin rashes, lymph nodes, and signs of specific infections. Depending on the child's age and clinical presentation, different etiologies should be considered, including viral, bacterial, fungal, parasitic, or noninfectious causes. A complete blood count (CBC) with differential and a C-reactive protein (CRP) test can provide valuable information about the severity and inflammatory response. Urinalysis and urine culture are essential when evaluating fever, especially in infants, to rule out urinary tract infections. Lumbar puncture should be considered in febrile infants under two months of age to rule out meningitis. Blood cultures may be necessary in cases of high fever or severe illness, especially when there are signs of bacterial infections.
About the Speaker

Dr. Vishal Parmar
Specialist Pediatrician and Neonatologist Borivali, Mumbai.
Upcoming Case Discussions
Gynaecologist’s Guide to Ovarian Cancer
Join us for a special webinar on World Ovarian Cancer Day, titled "Gynaecologist’s Guide to Ovarian Cancer." This expert-led session will delve into the latest advancements in early diagnosis, risk stratification, and evidence-based management of ovarian cancer. Tailored for gynecologists and healthcare professionals, the session will also explore real-world case discussions and multidisciplinary treatment approaches. Let’s come together to raise awareness and empower clinicians in the fight against this silent but deadly disease
Massive Transfusion Protocol
Massive Transfusion Protocol (MTP) is a standardized medical procedure activated in cases of severe hemorrhage, typically involving the rapid administration of large volumes of blood products. The goal is to restore circulating volume, maintain hemostasis, and prevent the lethal triad of hypothermia, acidosis, and coagulopathy. MTP usually involves a balanced ratio of packed red blood cells, plasma, and platelets, often in a 1:1:1 ratio. Early activation and coordination among trauma teams, laboratory services, and blood banks are essential for its success.
Sleep Apnea and Daytime Fatigue
Sleep Disorder Breathing is a term for a group of conditions with abnormal breathing patterns during sleep. This affects everyday functioning and well being.There are few types of SDB which include upper airways resistance, hypopnea, apnea, catathrenia and heavy snoring. People suffering with SDB can have daytime symptoms that result in poor sleep also. There can also be sleepiness, depressed mood, irritability and cognitive dysfunction.