Fever
Fever
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Question 1 of 3
1. Question
A 4 year old boy attends the emergency department with his father. He has a fever, and vomited once at home. He has no other localising symptoms, and is drinking well. On assessment, heart rate is 110, respiratory rate is 26, temperature is 38.2oC, oxygen saturations 98% air, capillary refill < 2 seconds. He is playing and looks well. Clinical examination is normal and does not reveal any focus of infection. What is the best course of action?
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Question 2 of 3
2. Question
A 2 week old baby attends their GP surgery with a fever. This was measured with an electronic axillary thermometer and read 38.7oC. She is breast-feeding, and for the last 12 hours has been very sleepy and only fed for a couple of minutes. She was born at term, and there were no risk factors for sepsis. On assessment, heart rate is 150, respiratory rate is 50, temperature is 35.5oC, oxygen saturations 97% air, capillary refill 2 seconds. She is sleeping and doesn’t wake up when examined. What should you do?
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Question 3 of 3
3. Question
A 7 year old boy attends emergency department with a fever of 38.9oC. He has a cough and runny nose, and is drinking and eating well. He is on treatment for acute lymphoblastic leukaemia, and last had chemotherapy 12 days ago. On assessment, heart rate is 107, RR 20, oxygen saturations 99% air and capillary refill < 2 seconds. He is active, playing and clinical examination is normal and he has a Hickman line in-situ. What is the best course of action?
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