Mrs. W presents with her 7-month-old son, Will
Mrs. W presents with her 7-month-old son, Will. She states he has been sick for 2 days with a fever of 100.4-100.6. He was a full-term infant, with no problems since birth. He has been to the clinic for all well child visits and immunizations are up to date. What questions are important to ask in the history? Mrs. W responds with the following information: Will’s Hx: The fever started 2 days ago and responds to Tylenol (5-15mg/kg) ROS: no other associated s/s LOC: WNL, adequate hydration, generally comfortable No animal exposure No illness in household members No environmental exposure Last immunizations 1 month ago at 6 month WCC Last Tylenol 5 hrs ago, no other measures PMH and FM noncontributory No febrile seizures Parents reliable, have thermometer 2. What do you need to assess on physical examination? (Hint: Most fevers without source necessitate a complete physical exam – be thorough in your explanation) Here is some information regarding his physical exam (in abbreviated form): Will’s Physical Exam: Rectal temperature 100.8 Pulse: 124 Respirations: 30 Quality of cry: strong Reaction to parent stimulation: content Color: pink Hydration: adequate No nuchal rigidity HEENT: WNL Chest: WNL Abdomen:.