Fever and Abdominal Pain

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In this episode, Arman (MS4) takes Kyle (MS4) and Neil (MS3) through a case of worsening fever and abdominal pain that had already been previously been evaluated. Nothing is ever too simple in the world of pediatric emergency medicine! As always, Nurse Barb is moonlighting in the pediatric emergency room to guide our hosts to the appropriate management. How would you approach this case? As always, we learn a couple of very important points about the GU side of abdominal pain. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com

*****EPISODE SPOILERS BELOW*****

Here is the article from Ultrasound Quarterly presented today: Cavorsi, K., Prabhakar, P., & Kirby, C. (2010). Acute pyelonephritis. Ultrasound Quarterly, 26(2), 103–105. https://doi.org/10.1097/RUQ.0b013e3181dc7d0b

An article on pyelonephritis from the great site emDocs: http://www.emdocs.net/pyelonephritis-its-not-always-so-straightforward/

And of course – a great UpToDate article on complicated UTIs: https://www.uptodate.com/contents/acute-complicated-urinary-tract-infection-including-pyelonephritis-in-adults

DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong – if you notice this, please email us at emjccast@gmail.com.