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fever - Coggle Diagram

- - - - otitis media
      - recognizable viral infection: enterovirus, parechovirus, influenza, COVID19, croup, bronchiolitis
      - serious bacterial infection: meningitis, sepsis, pneumonia, septi arthritis, cellulitis
      - noninfectious fever
    - - urinary tract infection
      - bacteriaemia
      - pneumonia
  - - - ancillary studies
        
        blood culture: PCT>0,5, WBC>15 G/l, ANC>10 G/l
        
        urine dipstick + culture
        
        chest radiograph WBC >20 G/l
      - acute otitis media or respiratory infection other than a recognizable viral infection should not be considered a source that decreases the risk of occult infection.
    - - laboratory test: not indicated
      - urine
        
        girls <24 mo
        
        uncircumcised boys < 12 mo
        
        circumcised boys <6 mo
        
        prior UTI, urinary anomaly, prolonged fever >48 h
        
        symptoms of UTI: dysuria, abdominal/back pain, newly onset incontinence