One thought on “A 2-year-old girl with upper respiratory infection symptoms — Brain Teaser. Do you know the answer?”
A bit distressing to see how many would have ordered a chest X-ray. One of the critical concepts a doc must learn is that most febrile pediatric patients do not require intervention from us: no labs, X-rays or antibiotics. As long as they follow the expected natural history of the diagnosed illness (URI, GE, herpangina, slapped cheek, viral pharyngitis, etc) then we should leave them alone. Instructions for supportive care should be our primary input.
A bit distressing to see how many would have ordered a chest X-ray. One of the critical concepts a doc must learn is that most febrile pediatric patients do not require intervention from us: no labs, X-rays or antibiotics. As long as they follow the expected natural history of the diagnosed illness (URI, GE, herpangina, slapped cheek, viral pharyngitis, etc) then we should leave them alone. Instructions for supportive care should be our primary input.