Clinical Case Database / Category: Patient Management
Evaluation of a child with fever & rash - the logical approach
Publication details
Dr S Subramania Krishnamoorthy, Dr Nandhakumar Nagarajan
Foundation Years Journal, volume 8, issue 8, p.18 (123Doc Education, London, September 2014)
Abstract
The case describes the approach to the evaluation and management of an infant who is admitted with fever and rash. There is progressive disclosure of information and scheme of investigations and management as the case progresses. Ideally, decisions have to be made at each point with the information given and once more information has been obtained, you are not allowed to go back and modify your previous decision, which is what happens in real life. The discussion that follows the case description is a 'think aloud' of an experienced clinician, backed up with evidences from literature search.
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Authors
Dr S Subramania Krishnamoorthy (Corresponding author)
Consultant Paediatrician, KK Hospital
Adj Asst Prof of Paediatrics
YLL and Duke-NUS Medical Schools
100 Bukit Timah Road, Singapore, 229899
sskmoorthy@gmail.com
Dr Nandhakumar Nagarajan
Consultant Paediatrician, KK Hospital
Adj Asst Prof of Paediatrics
YLL and Duke-NUS Medical Schools
100 Bukit Timah Road, Singapore, 229899
nandhakumar.nagarajan@kkh.com.sg
References
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All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
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When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.