Highlights
- •The differential diagnosis for fever of unknown origin is broad.
- •Subtle clues on examination and in the patient history can help to narrow down the differential without extensive workup.
Abstract
Patients presenting with complaints of prolonged fever may be difficult to evaluate.
The differential diagnoses for a pediatric patient with prolonged fever and rash can
be broad. This case highlights the case of a 16-year-old adolescent who presented
to the emergency department with these symptoms. This article reviews important items
in the history and physical examination to consider when narrowing this list of differentials.
Diagnostic evaluation, management, and patient and family teaching are reviewed.
Keywords
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Biography
Anna Richmond, DNP, FNP-C, PNP-C, is an assistant professor at Vanderbilt University School of Nursing and a nurse practitioner at Monroe Carrell Jr. Children’s Hospital at Vanderbilt Department of Pediatric Rheumatology; she can be contacted at [email protected]
Biography
Brittany Nelson, DNP, PNP-PC, is an assistant professor at Vanderbilt University School of Nursing and a nurse practitioner at Monroe Carrell Jr. Children’s Hospital at Vanderbilt Department of Pediatric Rheumatology.
Article info
Publication history
Published online: February 02, 2023
Footnotes
In compliance with standard ethical guidelines, the authors report no relationships with business or industry that would pose a conflict of interest.
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
