Fever, Sore Throat & ENT [Case #3]

“For the following cases of fever without obvious focus please assign a level of risk (low, intermediate, high) and state which investigations (if any) should be performed.”

QUESTIONS

Answer one question before attending the face-to-face teaching session. Add comments to answers already given if you think it's appropriate. The first part of teaching will be spent discussing this case:

Case 1:

A 4 month old girl presenting with 1 day of fever and reduced feeding. Mum states she thinks her daughter looks pale.
RR 42, HR 140, Temp 39.4 deg

1. Assign level of risk

2. What investigations should be performed?

Case 2:

A 2 year old girl with 2 days of fever and has vomited 3 times over the last 24 hours. She has no other symptoms.
RR 34, HR 128, Temp 37.9 deg

3. Assign level of risk

4. What investigations should be performed?

Case 3:

A 6 month old boy with a 3 day history of cough and difficulty feeding. Mum reports reduced number of nappies.
RR 50 and moderate recession noted, HR 152, Temp 39 deg

5. Assign level of risk

6. What investigations should be performed?

Case 4:

A 2 month old boy with 1 day of fever and reduced feeding. Parents report him being very irritable and crying continuously over the day.
RR 55, HR 162, Temp 38.5 deg

7. Assign level of risk

8. What investigations should be performed?