What’s Your Diagnosis? Pediatric Sinusitis

Welcome to this month’s What’s Your Diagnosis Challenge!

But before we begin, check to see if you got the previous case on COVID-19, MIS-C, and Long COVID in Pediatric Patients: An Update right.

Case Presentation: Pediatric Sinusitis: Complications and Management in the Emergency Department 

A 5-year-old girl is brought into the ED by her father for persistent fevers and runny nose over the past 3 days…

  • The father tells you he is worried that her fevers recur after 5 to 6 hours, despite oral antipyretics. 
  • On examination, the girl is playful and interactive. Her tympanic membranes are nonerythematous, but she is noted to have yellow nasal discharge. Her father asks for a prescription for antibiotics, since he had a similar illness last week and that was “the only thing that helped.” 
  • How should you approach counseling with this father regarding antibiotic use for his child? 

Make your best guess, and check back next month for the case conclusion!

Click to review Pediatric Emergency Medicine Practice, Safe Use of Opioids

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