OPENPediatrics
Approach to Fever by E. Freiman | OPENPediatrics
Jan 17, 2024
This podcast explores the clinical basics of fever, including body temperature measurement techniques and the role of cytokines in triggering fever. It also discusses the evaluation and management of pediatric fever, emphasizing the importance of history and physical examination in determining the cause and the decision-making process for utilizing antipyretics.
09:35
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Quick takeaways
- Different methods to measure body temperature have varying reliability and considerations, impacting diagnostic decisions.
- Fever is a complex physiological response involving cytokines and hypothalamic pathways, guiding clinical evaluation and management.
Deep dives
Approach to Fever Measurement
There are four primary methods to measure body temperature: oral, rectal, axillary, and infrared. While rectal measurements are considered the standard, oral temperatures are influenced by recent liquids and respiratory rates, and axillary measurements are less reliable. Patient discomfort can be a concern with rectal readings, prompting the use of infrared measurements in hospital settings. Fever definitions vary by age group, impacting the threshold for infectious assessment, with different temperature triggers for workups in children under three months versus older age groups.
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