Paediatric Fever
COVID-19 clinical presentation
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<p style="text-size:12px;">COVID-19 can present with a myriad of symptoms so should probably be on most differential diagnosis lists during the pandemic</p>
<li><a href="https://productivemedic.com/covid-remote-assessment/" target="_blank">COVID assessment, DDx and complications</a></li>
<li><a href="https://www.google.com/imgres?imgurl=https%3A%2F%2Ff6publishing.blob.core.windows.net%2F2ab0884c-0618-4586-aaf1-41004e6ad656%2FWJCC-8-3956-g002.png&imgrefurl=https%3A%2F%2Fwww.wjgnet.com%2F2307-8960%2Ffull%2Fv8%2Fi18%2F3956.htm&tbnid=I0G0VvXcx_akPM&vet=12ahUKEwj1_43FsrnuAhUH-YUKHSoZAFQQMygYegUIARCwAQ..i&docid=IBDQMbzRItpvKM&w=3307&h=2168&q=covid%2019%20presentation&safe=strict&ved=2ahUKEwj1_43FsrnuAhUH-YUKHSoZAFQQMygYegUIARCwAQ" target="_blank">Clinical presentation summary infographic</a></li>
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*Common causes
*Must not miss!
*Easily missed
- Glandular fever
- Cat scratch disease
- Tropical diseases
<a href="https://www.bmj.com/content/363/bmj.k4766" target="_blank">Assessment and initial management of acute undifferentiated fever in tropical and subtropical regions</a><br> <a href="https://www.bmj.com/content/bmj/suppl/2018/11/29/bmj.k4766.DC1/anub038321.wi.pdf" target="_blank">BMJ infographic</a>
Red flags
- Age < 1 month
- Petechial rash
- Impaired consciousness /lethargy
- Unwell (‘floppy’, toxic etc.)
- Respiratory distress
- Weight loss (failure to thrive)
- Prolonged Fever
- Foreign travel
- Abnormal clinical findings
Investigations to consider
- FBC, CRP/ ESR
- U&Es, LFTs
- Urinalysis/ culture
- Viral screen
- Sputum, Blood, Stool culture
- CXR
- Autoantibody screen
- Mantoux test
- USS
- CT scan
- Lumbar puncture