🧒 Chapter 221 · Fever in the Older Child (>2 months)

Nelson Textbook of Pediatrics 22nd Edition | Etiology (viral, bacterial, inflammatory), occult bacteremia (post-vaccine era), UTI, pneumonia, strep pharyngitis, meningitis, sepsis, Kawasaki disease, management, antipyretics.

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📋 30 Clinical Scenarios — Fever in Older Child (Nelson Ch 221)

📇 High‑Yield Review Cards (Fever in Older Child)

🩺 Fever Evaluation Scenarios (Age >2 months)

Select a scenario for diagnostic approach.

📋 Stepwise Approach: Fever in Children >2 Months

    📊 Common Causes of Fever by System

    SystemCommon Diagnoses
    Ear/Nose/ThroatAcute otitis media, streptococcal pharyngitis, sinusitis, peritonsillar abscess
    RespiratoryPneumonia (bacterial, viral, mycoplasma), bronchiolitis, COVID-19, influenza
    GastrointestinalGastroenteritis (viral, bacterial), appendicitis, mesenteric adenitis
    GenitourinaryUrinary tract infection (UTI), pyelonephritis, pelvic inflammatory disease
    MusculoskeletalSeptic arthritis, osteomyelitis, pyomyositis, transient synovitis
    SystemicSepsis, occult bacteremia, Kawasaki disease, MIS-C, EBV, CMV

    ⚡ Reflex Prompts — Fever Decisions

    📖 Summary: Fever in the Older Child — Nelson Ch 221