Apr 1, 2019 Issue
Febrile Seizures: Risks, Evaluation, and Prognosis [Article]

Children who have a simple febrile seizure and are well-appearing usually do not require routine diagnostic testing. For children with complex seizures, the neurologic examination should guide further evaluation. given the benign nature of febrile seizures, the routine use of antiepileptics is not indicated because of adverse effects of these medications. Antipyretics do not decrease the risk of febrile seizures. Management consists of parent reassurance and education regarding home management of seizures.

Apr 15, 2017 Issue
Fever in Well-Appearing Children Younger Than Two Years: A Clinical Policy from the ACEP [Practice Guidelines]

The American College of Emergency Physicians (ACEP) has released a clinical policy addressing issues in children younger than two years who visit the emergency department with fever, but who appear well.

Jul 15, 2014 Issue
Prolonged Febrile Illness and Fever of Unknown Origin in Adults [Article]

To determine the underlying cause, begin the initial evaluation by looking for potentially diagnostic clues before proceeding to the minimum diagnostic workup.

Oct 15, 2013 Issue
Fever in Returning Travelers: A Case-Based Approach [Article]

Overall, 3% to 19% of travelers to the developing world will return to the United States with fever or will develop fever within weeks of their return. When evaluating the returning traveler with fever, it is important to know which pretravel immunizations the patient received; which medications he ...

Feb 15, 2013 Issue
Evaluation of Fever in Infants and Young Children [Article]

Febrile illness in children younger than 36 months is common and has potentially serious consequences. With the widespread use of immunizations against Streptococcus pneumoniae and Haemophilus influenzae type b, the epidemiology of bacterial infections causing fever has changed. Although an extensiv...

Mar 1, 2012 Issue
AAP Reports on the Use of Antipyretics for Fever in Children [Practice Guidelines]

In this report, the American Academy of Pediatrics (AAP) reviews the effectiveness of antipyretics for the treatment of fever in children. Fever in children often leads to unscheduled physician visits, telephone calls from parents to physicians for consultation, and the treatment of fever with over-the-counter antipyretics.

Sep 15, 2011 Issue
Rash and Fever in a College Student [Photo Quiz]

Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

Jun 1, 2011 Issue
AAP Updates Guidelines for Evaluating Simple Febrile Seizures in Children [Practice Guidelines]

The American Academy of Pediatrics (AAP) recently updated its guidelines on the neurodiagnostic evaluation of simple febrile seizures in neurologically healthy children six to 60 months of age.

Feb 1, 2010 Issue
AHA Guidelines on Prevention of Rheumatic Fever and Diagnosis and Treatment of Acute Streptococcal Pharyngitis [Practice Guidelines]

Group A streptococcus (GAS) infections of the pharynx are the precipitating cause of rheumatic fever. Proper diagnosis and adequate antibiotic treatment of GAS infections can prevent acute rheumatic fever in most cases. The American Heart Association (AHA) recently updated its recommendations on the prevention of rheumatic fever.

Jun 15, 2007 Issue
Evaluating Fever of Unidentifiable Source in Young Children [Article]

Most children will have been evaluated for a febrile illness by 36 months of age. Although the majority will have a self-limited viral illness, studies done before the use of Haemophilus influenzae type b and Streptococcus pneumoniae vaccines showed that approximately 10 percent of children younger ...

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