Fever without source in children less than 2 years of age
#peds
Approach to fever without a source in children 3-24 months old
(usually can just tx symptomatically)
>>Temperature ≥ 39.0C
OPTION 1:
1. Urinalysis & urine culture: males ≤ 6 mo’s of age, females ≤ 12 mo’s of age
2. Consider CBC & blood culture for unimmunized children if temp ≥ 39.0oC
3. Chest x-ray if clinical evidence of possible pneumonia
4. Acetaminophen
5. Return if fever persists >48 hours or condition deteriorates
OPTION 2:
1. No diagnostic tests or antibiotics
2. Acetaminophen
3. Return if fever persists >48 hours or condition deteriorates
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