Approach To Newborn FEVER

Approach To Newborn FEVER

Definitions

Fever is an extremely common pediatric presentation and has many different causes. Fever is not an illness but rather a sign. The physician’s job is to attempt to diagnose the cause of the fever and to determine if that cause requires treatment or not.

Fever is defined as a core body temperature greater than 38°C (100.4°F) in infants younger than 28 days and greater than 38.2°C in infants older than 1 month. Core body temperature is best estimated by rectal temperature.

Approach to RABIES

Approach to RABIES

Introduction

Rabies is a zoonotic disease (a disease that is transmitted from animals to humans), caused by the rabies virus, of theLyssavirus genus, within the family Rhabdoviridae. Domestic dogs are the most common reservoir of the virus, with more than 95% of human deaths caused by dog-mediated rabies.

Approach to HEADACHE

Approach to HEADACHE 

The gold standard for diagnosis and management of headache is a careful interview and clinical examination. 

Headache Red Flags—“SNOOP”

• Systemic Symptoms : (fever, weight loss) or 
• Secondary Risk Factors : (HIV, systemic cancer) 
• Neurological Symptoms or abnormal signs (confusion, impaired alertness or consciousness) 
• Onset : sudden, abrupt, or split-second 
• Older : new onset and progressive headache, especially in middle age >50 yr (giant cell arteritis) 
• Previous Headache History : first headache or different (change in attack frequency, severity, or clinical features) 

STEROIDS In Spinal Injury

STEROIDS In Spinal Injury

The Congress of Neurological Surgeons and the American Association of Neurological Surgeons released a revised version of the original 2002 evidence-based guidelines for management of acute cervical spine and spinal cord injuries

Of 112 recommendations (the previous version contained 76), 19 are classified as level I recommendations, 16 as level II, and 77 as level III.

Malaysian 3rd Edition Dengue CPG

Malaysian 3rd Edition Dengue CPG

Download : Dengue CPG 3rd Edition 

List of Recommendations : 

Recommendation 1

♥ The baseline HCT and WCC should be established as early as possible in all patients With suspected dengue infection.
♥ Serial FBC and HCT must be monitored as the disease progresses.