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Paeds Fever Hangout: temps, teething and tots

Gday, really excited to be able to bring you this latest podcast.

A few weeks ago my local Paediatric partner-in-crime; Dr Mel Thompson and I got chatting about fever, teething and other potential errors, biases and pitfalls of Paediatrics.

This spilled over onto the Twitter feed – resulting in a brief discussion of Paeds fever.  So we formed a star panel of Paediatric FOAMed fellows:  Drs Natalie May, Damian Roland, Tessa Davis and Melanie Thompson all got together for an international hangout and a bit of banter.
DOWNLOAD the PODCAST here

There were a pile of papers we mentioned or have discussed in the last few weeks.  So a quick reference list :

Paediatrics 1998  – UTI prevalence in ED

Clinical Pediatrics 2012 – Evaluation of the Precision of ED Diagnoses in Febrile Children

Pediatrics 2000 – Teething and tooth eruption cohort study

Arch. of Disease in Childhood 1992: Fever associated with teething

Journ Dental Childhood 2013: Mothers’ reports on systemic signs and symptoms associated with teething

Arch Disease in Childhood 2007: Does a teething child need serious illness excluding?

BMJ 2010, Craig et al: The accuracy of clinical symptoms and signs for the diagnosis of serious bacterial infection in young febrile children: prospective cohort study of 15 781 febrile illnesses.

and…. for the highest quality ‘evidence’ check out this pearl from NEONATOLOGY on the WEB

Comments

  1. Thanks Casey. The GP setting is a bit different I believe. Firstly, we have a different, arguably less sick, presentation bias. Secondly, we cannot sit the child around for a urine so our only options are send to ED for observation or send home with pot. Finally, I find a large majority of viral illness kids with a temp have tachycardia but can look well. Is tachycardia as useful in this setting?

    Other things I use is strong safety netting, ask them to come back in the afternoon, and lastly I always ask about recent travel as this group has a different hroup of illnesses to consider.

    Thanks all, Rob.

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