|
Table 2: Common Pediatric Problems: Acute Illnesses |
|
Clinical Problem |
Common Conditions |
Significant Other Conditions to Consider |
|
Fever |
Bacteremia, occult
Urinary tract infection, pyelonephritis
Viral Illness, nonspecific
Viral exanthems, (e.g. varicella, measles, fifth disease, roseola, scarlet fever) |
Osteomyelitis
Meningitis
Febrile convulsions
Septic Arthritis
Kawasaki's disease
Juvenile rheumatoid arthritis
Viral exanthem, (eg. Rubella)
Tuberculosis
|
|
Sore Throat |
Pharyngitis (strep, scarlet fever, other)
Infectious Mononucleosis (EBV infection) |
Rheumatic Fever
Cervical adenitis
Peritonsilar and Retropharyngeal abscesses |
|
Ear Pain |
Otitis Media
Recurrent otitis media*
Middle ear effusion |
Deafness*
Speech and language delay* Mastoiditis* |
|
Upper Respiratory Illness |
Conjunctivitis
Allergic Rhinitis
Sinusitis
Viral Infection |
Periorbital/Orbital Cellulitis* |
|
Cough |
Upper Respiratory Illness, Sinusitis
Pneumonia
Croup
Bronchiolitis
Bronchitis
Asthma |
Cystic Fibrosis
Pertussis
Tuberculosis
Foreign Body Aspiration
Gastroesophageal reflux
Chlamydia pneumonitis |
|
Wheeze |
Asthma
Bronchiolitis
Gastroesophageal Reflux |
Congestive Heart Failure
Vascular Ring
Foreign Body Aspiration
Bronchopulmonary Dysplasia |
|
Stridor |
Laryngomalacia
Croup |
Epiglottitis
Bacterial Tracheitis
Vascular Ring
Subglottic Web or Hemangioma
Peritonsillar or Retropharyngeal abscess |
|
- Important related conditions, not directly a cause of the clinical problem
|
|
Clinical Problem |
Common Conditions |
Significant Other Conditions to Consider |
|
Vomiting |
Gastroesophagel Reflux
Pyloric Stenosis
Gastroenteritis
Secondary to infections (e.g. Pharyngitis, otitis, etc) |
Volvulus/bowel obstruction
Diabetic ketoacidosis
Increased intracranial pressure
Hepatitis
Pyelonephritis
Pregnancy
Congenital adrenal hyperplasia |
|
Abdominal Pain |
Appendicitis
UTI/Pyelonephritis
Gastroenteritis
Constipation
Pelvic Inflammatory Disease
Colic |
Vasculitis (Henoch-Schoenlein Purpura)
Intussusception
Gastritis
Pregnancy
Encopresis*
Inflammatory Bowel Disease
Ulcer Ovarian/testicular torsion
Psychogenic abdominal pain
Malignancy
Incarcerated Hernia |
|
Diarrhea/vomiting |
Gastroenteritis (eg. Viral, bacterial, Giardia Lamblia) |
Failure to thrive
Hemolytic-Uremic Syndrome
Dehydration* |
|
Dermatitis/rash |
Acute urticaria
Atopic dermatitis
Contact dermatitis
Monilial skin infections
Scabies
Impetigo/cellulitis
Tinea infections |
Anaphylaxis*
Drug reaction rash
Stevens-Johnson Syndrome
Seborrheic Dermatitis |
|
Trauma |
Animal bite wounds
Burns
Child abuse |
Tetanus*
Rabies* |
|
Joint/Limb problems |
Tendonitis
Infections (eg. Toxic synovitis, septic arthritis, osteomyelitis)
Congenital hip dislocation
Injury |
Nursemaid's elbow
Arthritis (eg. JRA)
Sickle cell disease
Rheumatic fever
Leukemia/tumors
Osgood-Schlattter disease
Legg-Calve-Perthes Disease
Slipped femoral capital epiphysis
|
|
CNS Problems |
Headaches (migraine, tension)
Seizure disorders
Febrile convulsions
Closed head trauma |
Increased intracranial pressure
Brain tumor
Hydrocephalus |