Discussion Part One (graded)
Child with Fever
Kayla brings Riley in for complaint of fever and rash. The fever began 3 days ago and is of normal levels in the morning then gets as high as 103 to 104 degrees in the afternoons. Riley has also had clear rhinorrhea and in the last 24 hours he has developed a red, diffuse rash to the torso and abdomen that does not itch. Mother reports he is drinking well and had a good wet diaper this morning, but is not really eating much and is not playing.
She is very concerned about the level of the fever and the fact that after 3 days he is not improving.
Discussion Questions Part One: We will begin by focusing on gathering history in an ill child. Begin by only going through the history only. Once you are done please write out the history as you would for an office note and then answer these questions:
- One important item you learned about gathering a history on a small child.
- What ‘red flags’ did you note in the historical data?
- What information should always be gathered on a child you have not previously seen?
- What data is most important to include in this particular case and which historical data that might be gathered on a well-child exam can be left out?
- What are your differential diagnoses?