Paeds Cases · infectious-diseases
Undifferentiated fever and fever without a source in infants and children — formative case
A MedVellum formative structured clinical encounter assessing the candidate's approach to a 40-day-old febrile infant without a localising source. Tests risk-stratification, investigation selection, prediction-rule application, empiric antibiotic choice and safety-netting. Not an official board station.
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Study tools
Target exams
RACP General PaediatricsRACP DWERACP DCERCPCH Progress+MRCPCH TheoryMRCPCH ClinicalABP General PediatricsACGME PediatricsRCPSC Pediatrics
Prompt
A 40-day-old infant with fever and no localising source, requiring age-stratified risk assessment and a structured evaluation and disposition plan.
Station status
This is one MedVellum formative structured clinical encounter. The scoring, prompts and performance descriptions are educational feedback tools. They are not an official college station, timing, mark allocation, pass score or reproduced examination format. [6] [13]
References5ShowHide
- [1]Kuppermann N, Dayan PS, Levine DA, et al. A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections. JAMA pediatrics, 2019.PMID 30776077
- [6]Ishimine P Fever without source in children 0 to 36 months of age. Pediatric clinics of North America, 2006.PMID 16574521
- [9]Yo CH, Hsieh PS, Lee SH, et al. Comparison of the test characteristics of procalcitonin to C-reactive protein and leukocytosis for the detection of serious bacterial infections in children presenting with fever without source. Annals of emergency medicine, 2012.PMID 22921165
- [13]Baraff LJ Management of infants and young children with fever without source. Pediatric annals, 2008.PMID 18972849
- [19]Aronson PL, Lyons TW, Cruz AT, et al. Impact of Enteroviral Polymerase Chain Reaction Testing on Length of Stay for Infants 60 Days Old or Younger. The Journal of pediatrics, 2017.PMID 28705656