Harbor Macros: Pediatrics
Chest Pain
History, exam, and tests not concerning for myocardial ischemia, pneumothorax, pneumonia, pulmonary embolism, dysrhythmia, pericarditis, myocarditis.
Fever
Discussed with _ natural course of fever with viral illness, fever's function in body in fighting viral pathogens, my concern more for how a patient appears and acts (lethargy, irritability no po intake) as opposed to specific height of fever, expectation that fever will return when antipyretics wear off and normality of that occurrence, and appropriate dosing of antipyretics.
Head Trauma Minimal
Glasgow coma scale 15. No hematoma. No skull crepitance or stepoff. No Battle sign. No raccoon eyes. No fluid from nose or ears. No nasal septal hematoma. No open wounds. No cervical spine tenderness. Risks of CT radiation far outweigh any risks of intracranial hemorrhage. Given instructions regarding supportive care including pain meds as needed, return precautions, follow-up with primary physician.
Rash
Rash and clinical picture not worrisome for scabies, measles, meningococcemia, varicella, bullous disorder, Stevens-Johnson syndrome, Toxic epidermal necrolysis, staph scalded skin syndrome, toxic shock syndrome, or disseminated herpes.
