Pediatric emergency medicine trisk 0651 0651
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without focality may also
represent:
Musculoskeletal
Neurologic
Skin
Suprapubic/costovertebral
angle tenderness (or fever
alone in young children)
Adolescent females with
pelvic or abdominal pain
and fever
Joint swelling, effusion,
tenderness, limited range
of motion
Bony tenderness, abnormal
posture, or limp
Severe muscle tenderness,
poor perfusion
streptococcal
pharyngitis, or urinary
tract infection (UTI)
UTI
Pelvic inflammatory
disease, UTI
Septic arthritis, Lyme
disease; rheumatologic
disease
Osteomyelitis, discitis, etc.
Myositis, pyomyositis,
necrotizing fasciitis, a
sepsis, a septic shock a
Bulging fontanel, irritability, Meningitis, a encephalitis, a
lethargy (infants) and
sepsis, a septic shock a
altered sensorium,
convulsion, meningismus,
or focal neurologic
deficits (older children)
Characteristic febrile
Varicella, rubeola, scarlet
exanthems
fever, and
coxsackievirus;
Kawasaki disease (in
association with other
Kawasaki stigmata)
Fever and full-body
Meningococcemia, a other
petechiae, esp. if ill or
bacteremia, a Rocky
abnormal lab values
Mountain spotted fever a
Petechiae only above the
Viral infection, or
nipple line, normal labs,
streptococcal pharyngitis
and well appearance make
