Emergency Department Management of Rash and Fever in the Pediatric Patient (Infectious Disease CME and Pharmacology CME) | Digest
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Emergency Department Management of Rash and Fever in the Pediatric Patient (Infectious Disease CME and Pharmacology CME)

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Points & Pearls Excerpt

  • Examine the patient for nondermatologic findings, such as lymphadenopathy, abdominal pain, arthritis, and cardiac murmurs, that may correlate with certain etiologies.
  • Immediately place patients with suspected measles on airborne precautions, including a negative pressure room, and N-95 respirators for the healthcare staff.
  • Treat patients with an acute case of measles, especially immunocompromised patients, with vitamin A to decrease the risk of associated complications, such as pneumonia, hearing loss, blindness, or death.
  • Use the revised Jones criteria to diagnosis acute rheumatic fever, in addition to ordering a CBC, ESR, CRP, ASO, ECG, and echocardiogram.
  • Order aspirin or naproxen for carditis in acute rheumatic fever. Consider corticosteroids in addi-tion to IVIG in patients with moderate to severe carditis.

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Publication Information
Authors

Rhonda L. Philopena, MD; Erin M. Hanley, MD; Kayla Dueland-Kuhn, MD

Peer Reviewed By

Jeffrey R. Avner, MD, FAAP; Nicole Gerber, MD

Publication Date

January 2, 2020

CME Expiration Date

January 2, 2023

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME and 0.5 Pharmacology CME credits.

Pub Med ID: 31855328

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CME Information

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