Investigate cause of fever

History taking
Physical examination
Lab test

~History taking
Complaints
Duration of fever and last treatment given
Antenatal history
Sick contact
Immunisation history
Travel history

~Physical examination
CNS
Bulging fontanel, consciousness, convulsion
RS
Tachypnea, dyspnea, cough, crackle
CVS
Cyanosis, capillary refill
GIT
Abdominal pain, organomegaly
MSK
Swelling limb or joint, not using extremities

~Lab test
Complete blood count
Blood culture
Urinalysis and urine culture
Chests X ray
Cerebral spinal fluid

Febrile child that needs urgent

management
Shockimmediate intravenous fluid
Unrousable
Sign of meningococcal disease
Low oxygen saturation (<95%)
Suspected serious bacterial infection

Admission
High risk immunosuppressed, congenital heart
disease
Parental anxiety (experience)
Sick contact w serious infectious disease
Recent travelling
Multiple visit to healthcare provider yet unresolved
Fever without obvious cause that last longer than
expected