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Fever in the newborn and infant

Fever in the newborn and infant

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Published by medpedshospitalist
The management of the febrile newborn and infant is presented. There is a difference in the management of the infant aged 28 to 90 days and the infant older than 90 days old. The algorithm suggesting the septic work-up management is presented.
The management of the febrile newborn and infant is presented. There is a difference in the management of the infant aged 28 to 90 days and the infant older than 90 days old. The algorithm suggesting the septic work-up management is presented.

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Published by: medpedshospitalist on Sep 14, 2009
Copyright:Attribution Non-commercial

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12/31/2012

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Moises Auron, MD FAAPPediatric Residency Program Noon Conference8/21/2009
 
Fever
y
20% of pediatric emergency dept visits
y
35% of ambulatory visits
y
5%-10%-20% percent of febrile children have feverwithout an apparent source of infection after history andphysical examination.
 
Fever
y
Hypothalamus is the thermoregulatory center for thebody
y
Fever results when a shift in the hypothalamic set pointcauses a controlled elevation of body temperature abovethe normal range
y
Normal set point for humans has a daily circadian rhythmranging 36C-37.8C with peak occurring in the afternoon
Current Opinion in Pediatrics 2009, 21:139144

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