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- W2320173322 abstract "OPEN ACCESSMarch 18, 2008Steven/Sherry Pilkington Amy Holthouser, MD Amy Holthouser, MD University of Louisville School of Medicine Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.819 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail Abstract Introduction: This resource is a problem-based learning (PBL) case that takes place in the context of a 2-year team-based learning cases course titled Interdisciplinary Clinical Cases. This case is designed to teach second-year medical students a rational approach to the diagnosis of an infant of different ages (15 days, 75 days, and 30 months) with a fever of unknown source. Methods: Students work in subgroups to research the answer to study questions prior to the case that links their knowledge of pathology and microbiology/immunology with the clinical sciences. The use of Prevnar and haemophilus influenzae type B vaccines is reviewed and applied to the patients so students understand the differences in treating vaccinated, immune-competent patients. Unique characteristics of infants are explored as well as the most common serious bacterial infections in this patient population. Evidence-based recommended treatment guidelines from Cincinnati Children's hospital for patients with fever of unknown sources in these age groups are critically reviewed and applied. A standardized patient (SP) script for the parent of the child is included, but could be given to learners if no SP is available to act as the parent. Results: Students appreciated learning a clinically relevant way to think about vaccines and their effect on medical decision-making in simulated patients. Discussion: It is difficult for even the brightest students to apply knowledge about required vaccines to a patient scenario; this is what makes the case effective as a teaching tool. It is optimal, but not necessary, to have a SP involved as the parent of the child. Educational Objectives By the end of this case, learners will be able to: Perform a competent and targeted history and physical exam on a standardized patient.Work as a team prior to the Interdisciplinary Clinical Cases session to answer and teach clinical rules and concepts related to the etiology of fever in infants of varying ages.Review commonly used laboratory tests in an infant with fever.Apply published and validated clinical decision-making rules to evaluate a patient for risk of various infections, given the age of the child and clinical scenario.Critique the usefulness of the decision-making tool, using background knowledge about vaccines and their use/efficacy.Interpret the results of common laboratory tests in a febrile infant. Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: Faculty Version.doc EBM Encounter Form.doc To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. CitationHolthouser A. Steven/Sherry Pilkington. MedEdPORTAL. 2008;4:819. https://doi.org/10.15766/mep_2374-8265.819 Related Baby Ballou: A Case of an Abnormal Newborn Screen Steven/Sherry Pilkington Toby Cartwright - Bilious Emesis in a Neonate Copyright & Permissions© 2008 Holthouser. This is an open-access publication distributed under the terms of the Creative Commons Attribution-NonCommercial-Share Alike license.KeywordsUTIInfantSepsisBacteremiaUrinary Tract InfectionMeningitisFever of Unknown OriginPhysical Examination Disclosures None to report. Funding/Support None to report. tabs.loading" @default.
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