mjl1717
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What do you do if a 1 and a half year old child is lethargic, has hoarsness and has a fever of 103 degrees F.
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| Idiopathic
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Sounds like strep. Rapid strep test and augmentin?
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| alice8
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acute epiglottitis due to h.influenza...lateral x-ray of neck
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| Idiopathic
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I was thinking about that, but hoarseness and wheezing are noticeably different. acute epiglottitis would have to be in your differential, but without hearing the kid...
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| meg
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sounds like acute laryngitis, viral cause is more common than bacteria. Antibiotics wont be effective, increase hydration, give analgesics.
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| Idiopathic
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The phrase lethargic always bothers me. I actually would screen for meningitis and then possibly do a tap.
I have always been told a sleepy baby gets rest, a lethargic baby gets tapped.
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| mjl1717
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meg is correct Dx-U.R.I. - Rx-Hydration&ChildrensMotin orChildrens Tylenol
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