fever in neonate and young infant
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What are signs of a toxic appearing infant?
- poor perfusion
- poor tone
- decreased activity/lethargy
What are some signs of bacterial meningitis in the neonate or young infant?
- clues are subtle for meningitis
- altered sleep patterns
- decreased oral intake
- paradoxical irritability (more irritable being held than lying down)
- bulging fontanelles
When to get chest radiograph in fever workup?
When patients has at least one sign of pulmonary disease
What tests to order with neonates with fever?
- blood cultures
- urine cultures
- CSF cultures
What are signs of Disseminated Herpes Infection?
- mucocutaneous vesicles
- CSF pleiocytosis
- elevated liver enzymes
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