🌡️ Chapter 219 · Fever

Nelson Textbook of Pediatrics 22nd Edition | Pathogenesis (endogenous/exogenous pyrogens), fever patterns, hyperpyrexia, evaluation, management, antipyretics (acetaminophen, ibuprofen), febrile seizures, fever without source.

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📋 30 Clinical Scenarios — Fever (Nelson Ch 219)

📇 High‑Yield Review Cards (Fever)

🩺 Fever Pattern & Evaluation Scenarios

Select a fever scenario for diagnostic approach.

📋 Stepwise Approach: Fever Evaluation & Antipyretic Use

    📊 Fever Patterns & Associated Diagnoses

    Fever PatternDefinitionAssociated Conditions
    IntermittentNormal temps between fever spikesMalaria, pyelonephritis, abscess, TB, JIA
    Sustained (continuous)Minimal variation (>0.5°C/24h)Typhoid fever (step-ladder), pneumonia
    RemittentWide variation >0.5°C, but not normalMost viral/bacterial infections
    RelapsingFebrile periods separated by normal intervalsMalaria (tertian/quartan), cyclic neutropenia, PFAPA
    Biphasic (double quotidian)Two peaks in 24hJuvenile idiopathic arthritis (Still disease), dengue, poliomyelitis

    ⚡ Reflex Prompts — Fever Decisions

    📖 Summary: Fever — Nelson Ch 219