A general paediatric trainee in Queensland who enjoys clinical teaching, positive teamwork, research, and medication safety. Alyssa also loves travelling, scuba diving and camping with her family. A true child at heart, she loves playing games with her patients.

Recurrent or Periodic Fevers – investigate or reassure?

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A 3 year old girl presents to your clinic with her mother. Their GP has referred her due to monthly fevers. Otherwise appears well, growing normally and developing well.   Bottom line of what I found: Are they fevers?? Check out Andy Tagg’s ‘Feel the Heat’ article on how to accurately check children’s temperature! Initial…

A Difficult Beast

A 14 year old girl was brought in by her family with lethargy, agitation, and confusion. Her past medical history includes depression and a recent viral upper respiratory tract infection.   Bottom Line: Encephalitis is caused by inflammation of the brain and is difficult to diagnose and manage. Up to 50% of patients experience short-term…

Incomplete Kawasaki Disease

  A four year old Japanese male was brought into Emergency with 5 days of fevers, non-exudative bilaterally injected sclerae, erythematous pharynx and irritability. Wondering about the possibility of Kawasaki Disease, I turned to check the 2017 update of the American Heart Association Scientific Statement, focusing on considering a diagnosis of Incomplete Kawasaki Disease.  …