#1. FUO is most commonly: 1) infection, 2) collagen vascular disorder, and 3) neoplasm
#2. Always consider uncommon presentations of common diagnoses
#3. Repeating the clinical exam is key
a) think about the child that has returned to the CED for the 3rd time in as many weeks... the new findings on your exam may be what leads to the final diagnosis
#4. No clear-cut rules for home vs. admit, but consider age, follow-up, and clinical severity
See Ped EM Morsel - http://pedemmorsels.com/fever-of-unknown-origin/
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Department of Emergency Medicine
Medical Education Building., Third floor
1000 Blythe Blvd.
Charlotte, NC 28203