HISTORY:
Fever for
Up to: ° ,
Treatments tried: ,
,
,
,
Additional symptoms:
Other elements:
Vaccination status:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Head: fontanelles ,
Eyes: -R: , -L: ,
Ears: -R: , -L:
Nose: , , discharge ,
Throat:
Mouth:
Neck:
Heart: ,
Lungs: ,
Chest: on
Abdomen: , , ,
Genital: , testicles , penis , Tanner stage
Extremities: , , cap refill
Skin:
Musculoskeletal: joints ,
ASSESSMENT:
DDx:
PLAN:
- Chest X-ray
- Covid test
- Throat swab
- Urine culture
- Blood work: , ,
-
-
- Encourage hydration
- Antibiotics if bacterial infection suspected
- Follow-up in
- Return if fever persists for more than 3 days, if new symptoms develop, or if condition worsens
- Referral to pediatrician if no improvement after 72 hours
- Go to ER if seizures, severe headache, stiff neck, or other signs of serious illness occur