Documente Academic
Documente Profesional
Documente Cultură
10/24/18
WADE HARRISON, MD, MPH
CBC: WBC 11.1 (B 2%, N 37%, L 52%), Hgb 12.8, Plts 356
VRP: rhino+
• Dispo: Called family and told labs reassuring still likely viral URI
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Day 3: PCH ED
• HPI: Return of fever, not feeding well, decreased activity, less
UOP, continued eye discharge
• PE: 38.0o otherwise nml / well appearing / sunken fontanelle /
+purulent eye discharge
• Labs:
CBC: WBC 15.2 (B 19%, N 2%, L 57%), Hgb 12.1, Plts 546
RSV: negative
Urine: unsuccessful catheterization attempt
• Dispo: 10cc/kg bolus and d/c home
High Risk 0-28 days 0-28 days 0-28 days <37 weeks GA
(i.e. Do I need <37 weeks GA <37 weeks GA <37 weeks GA Underlying condition _____________________________________________________________________________________________________________________________________
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1. Mahajan P, Browne LR, Levine DA, et al. Risk of Bacterial Coinfections in Febrile
Infants 60 Days Old and Younger with Documented Viral Infections. J Pediatr.
September 2018. doi:10.1016/j.jpeds.2018.07.073
2. Ralston R, Hill V, Waters A. Occult Serious Bacterial Infection in Infants Younger
Than 60 to 90 Days With Bronchiolitis: A Systematic Review. Arch Pediatr
Adolesc Med. 2011;165(10):951-956. doi:10.1001/archpediatrics.2011.155
3. Blaschke AJ, Korgenski EK, Wilkes J, et al. Rhinovirus in Febrile Infants and Risk of
Bacterial Infection. Pediatrics. 2018;141(2)
4. Greenhow TL, Hung Y-Y, Pantell RH. Management and Outcomes of Previously
Healthy, Full-Term, Febrile Infants Ages 7 to 90 Days. PEDIATRICS. 2016;138(6)
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