You are assessing a 3 year old girl who presents with fever. She appears unwell but not toxic. Temperature is 40.1 degrees Celsius. The remainder of her vital signs are non contributory. Your exam in unrevealing for a source. A urine sample is negative. Which of the following should make you consider ordering a chest x-ray?
About the Author: Anton Helman
Dr. Anton Helman is an Emergency Physician at North York General in Toronto. He is an Assistant Professor at the University of Toronto, Division of Emergency Medicine and the Education Innovation Lead at the Schwartz-Reisman Emergency Medicine Instititute. He is the founder, editor-in-chief and host of Emergency Medicine Cases.