Fever and a limp

Cite this article as: Sell, T. Fever and a limp, Don't Forget the Bubbles, 2014. Available at: http://doi.org/10.31440/DFTB.4540 2 1/2 year old John is brought into the emergency department by his mother.  He has been refusing to weight bear for four days. 

Do rigors indicate serious bacterial infection?

Cite this article as: Davis, T. Do rigors indicate serious bacterial infection?, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.4674We often see children with pyrexia and have to decide on whether or not they have a serious underlying bacterial infection.  When the parent describes, or uses the word ‘rigors’ we all get a bit twitchy…

Finding the fever

Cite this article as: Goldstein, H. Finding the fever, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.4641Jed is a thriving 8 month old brought in by his parents with a fever of 38.8oC; he’s tachycardic and grumpy. His fever began twelve hours ago, and aside from crankiness, he is otherwise well. He is fully immunised…

Bronchiolitis

Cite this article as: Goldstein, H. Bronchiolitis, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3581A 6 month old child presents with cough and runny nose for 2 days with increased work of breathing.  She is working hard with moderate subcostal recession.

Needing a Diagnostic Kick-start

Cite this article as: Davis, T. Needing a Diagnostic Kick-start, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3254A 4 year-old boy has been brought to the emergency department by his worried parents. He has had fevers for the past 6 days. They are concerned because he is not getting better despite repeated visits to a…

Empiric antibiotics for general infection

Cite this article as: Anders, M. Empiric antibiotics for general infection, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3846 Age if meningitis excluded if meningitis is NOT excluded if Staphylococcus aureus suspected < 3 months Amoxicillin 50 mg/kg q6hrGentamycin 7.5 mg/kg q24hr Amoxicillin 50 mg/kg q6hrGentamycin 7.5 mg/kg q24hr Cefotaxime 50 mg/kg q6hr Consider especially…

Chylothorax

Cite this article as: Anders, M. Chylothorax, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3685Definition: accumulation of lymphatic fluid or chyle in the pleural space (triglyceride level >1.1 mmol/l or total cell count >1000 cells/ml with >80% lymphocytes).

Low cardiac output syndrome

Cite this article as: Anders, M. Low cardiac output syndrome, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3711Definition: oxygen delivery provided by CO does not meet oxygen demand (or CI < 2.1 L/min/m2) due to inflammatory response of CPB, myocardial ischaemia from aortic crossclamp, hypo-/hyperthermia, reperfusion injury and surgical treatment (ventriculotomy).