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.

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


  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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