1.25 ACRES. Our team integrated current literature, national guidelines and local expert opinion into the pathways. J. Antoon, D. Peritz, Michael Parsons, A. Skinner, J. Lohr Medicine Hospital pediatrics 2018 TLDR (4)Reaffirmation of AAP Clinical Practice Guideline: The Diagnosis and Management of the Initial Urinary Tract Infection in Febrile Infants and Young Children 224 Months of Age [PubMed Abstract] [Full Text HTML] [Full Text PDF]. 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. Epub 2011 Aug 28. You also have the option to opt-out of these cookies. Website (828) 262-5787. CSF pleocytosis was defined using age-specific CSF WBC reference values (ie, 19 for infants 0-28 days of age and 9 for infants 29-60 days of age). I am currently in the Elementary Education program and would love to help children with homework or tutoring if needed. She is also great with young kids and has worked as a nanny, a substitute teacher, and a summer camp counselor in Montessori. Necessary cookies are absolutely essential for the website to function properly. 2021 Jan;28(1):46-59. I have lots of experience with children, I've been everything from a babysitter and mothers helper to an assistant teacher. Philadelphia, PA 19104, 2023 The Childrens Hospital of Philadelphia |. What is the difference between serious bacterial infection (SBI) and invasive bacterial infection (IBI) and why is this important in the work up of the febrile infant? $325,000. Join host Dr. Bob Belfer as he talks to PEM experts Dr. Rich Scarfone and Dr. Prashant Majahan about how to approach the infant with a fever. How do the PECARN, Step-by-Step and Aronson decision tools for identifying febrile infants at low risk for IBI and SBI? Childrens Hospital Colorado providers are faculty members of the University of Colorado School of Medicine. Efforts to develop an evidence-based approach to the evaluation and management of young febrile infants have spanned more than 4 decades. 6 Statistical Analysis Continuous data are described with median values and interquartile ranges because of nonnormal distributions. If you want to stop receiving these communications, you may send an email message to chopopensupport@chop.edu. All information in member profiles, job posts, applications, and messages is created by users of our site and not generated or verified by Care.com. Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Childrens Hospital of Philadelphia (CHOP), its physicians and the individual patients in question. Epub 2016 Jul 5. Philadelphia, PA 19104, 2023 The Childrens Hospital of Philadelphia |. min-height:100px; Emerg Med J. 4. **By selecting Yes, you consent to receive information from CHOP. Emergency Medicine Cases. Children's Hospital Colorado's Fever in Infants 0 to 60 Days pathways provide guidance on the evaluation and management of infants ages 0 to 60 days old with a fever. A fever without an obvious source in an infant younger than three months is highly concerning. Caldwell County Pathways is in Lenoir, NC and in ZIP code 28645. PDF Etiology and Resource Use of Fever of Unknown Origin in Hospitalized Children. Management of infants between 1-3 months of age may be guided by clinical evaluation and laboratory investigations. CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient. When you give to Children's Colorado, you're helping us to reimagine children's health through patient care, education, research and advocacy. I like working with kids to get to know them. At the end of this session, learners will be able to recall the evolution of management for The Febrile Young Infant (FYI) with emphasis on lumbar punctures in the 2 nd month of life, presumed urinary tract infection (UTI), and the 2021 American Academy of Pediatrics (AAP) guidelines. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. Some drugs and medical devices presented in the Presentations have United States Food and Drug Administration (FDA) clearance for limited use in restricted research settings. Helman, Burstein and Joubert have no conflicts of interest to declare, .start-quiz-before-box{ Some healthcare professionals listed on our website have medical privileges to practice at Childrens Hospital Colorado, but they are community providers. 2023 by Children's Hospital of Philadelphia, all rights reserved. Memorial ID. . 453 Howards Creek Rd. A standardized ED clinical pathway may improve care for these patients. Mintegi S, Bressan S, Gomez B, Da Dalt L, Blzquez D, Olaciregui I, de la Torre M, Palacios M, Berlese P, Benito J. Febrile infant low risk decision tools for infants: PECARN, Step-by-Step and Aronson, https://media.blubrry.com/emc/content.blubrry.com/emc/EMC-173-Aug2022-Febrile-Infant-.mp3, https://apps.apple.com/ca/app/pedsguide/id1094742963, https://www.mdcalc.com/calc/10204/pecarn-rule-low-risk-febrile-infants-29-60-days-old#evidence, https://trekk.ca/resources?tag_id=C001234, https://www.mdcalc.com/calc/1801/step-step-approach-febrile-infants, https://www.chop.edu/clinical-pathway/febrile-infant-emergent-evaluation-clinical-pathway, ECG Cases 40 Approach to Spontaneous Coronary Artery Dissection (SCAD), Ep 179 Hand Injuries Finger Tip Injuries, Jersey Finger, PIP Dislocations, Metacarpal Fractures, Thumb Injuries, Tendon Lacerations, EM Quick Hits 46 Wilderness Medicine, Bowel Prep Hyponatremia, Non-Convulsive Status Epilepticus, Morel Lavallee Lesions, Pacemaker ECGs, Loans vs Investing, Urinalysis negative for leukocyte esterase, nitrites and pyuria (WBC 5/hpf), Urinalysis positive (leucocyte esterase, nitrites or pyuria (>5WBC/hpf 3 points), Pantell RH, Roberts KB, Adams WG, Dreyer BP, Kuppermann N, OLeary ST, Okechukwu K, Woods CR, Byington CL, Lavelle JM, Lye PS, Macy ML, Munoz FM, Nelson CE, Pearson SJ, Powell KR, Teichman JS; Subcommittee on Febrile Infants, Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old. Help me decide. These cookies will be stored in your browser only with your consent. I live right off-campus so am searching for a job not too far from there! I am a senior in high school, 18 years, I have tons of child care experience since my teenage years. Accuracy of a sequential approach to identify young febrile infants at low risk for invasive bacterial infection. The incidence of invasive pneumococcal disease in children younger than five years dropped by more than 90% after the initiation of pneumococcal conjugate vaccines. Once you have decided to receive such communications, you may later decide to stop receiving these communications. The description and property data below may have been provided by a third party, the homeowner or public records. Childrens Hospital of Philadelphia Pediatric Emergency Medicine Podcast Robert Belfer, MD, Jill Posner, MD and the CHOP PEM Podcast Team. CONCLUSIONS: An ED-based febrile young infant clinical pathway improved the timeliness of initiation of work-up as measured by urine collection and of therapy by an earlier administration of the first antibiotic, as well as decreased variability of care. Gomez B, Mintegi S, Bressan S, Da Dalt L, Gervaix A, Lacroix L; European Group for Validation of the Step-by-Step Approach. You also have the option to opt-out of these cookies. (9)Catheterization of the Urethra in Male ChildrenYouTube video from the New England Journal Of Medicine. If you have questions about any of the clinical pathways or about the process of creating a clinical pathway pleasecontact us. Fever in Infants Less than 60 Days. It is the responsibility of the practitioner to ascertain the FDA status of each drug or device planned for use in their clinical practice. Care.com members have access to active, background checked providers. 1 In the 1970s, concerns arose about the emergence and rapid progression of group B Streptococcus (GBS) infection in neonates, whose clinical appearance and preliminary laboratory evaluations did not always How accurate is procalcitonin in identifying low risk febrile infants? 3401 Civic Center Blvd. Public accommodations protections include being unfairly refused services or entry to or from places accessible to the public (retail stores, restaurants, parks, hotels, etc). 3. Pediatrics. The Presentations are protected by copyright laws and in some cases patent laws, and all rights are reserved under such laws. The mean time to urine collection and time to the first antibiotic administration were reduced after pathway implementation (23-minute reduction to urine collection vs 36-minute reduction to the first antibiotic administration). So here are some of the slides and lecture notes fromEvaluation Of The Well Appearing Febrile Infant From CHOP Part 1 Of 4 Less Than 60 Days Of Age: See Resource (2) in Additional Resources for a link to Validation of The Step By Step Approach. Results are illustrative only and may not reflect current availability. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. I have 5 years of experience. These Presentations are intended only to provide general information and need to be adapted for each specific patient based on the practitioners professional judgment, consideration of any unique circumstances, the needs of each patient and their family, the availability of various resources at the health care institution where the patient is located, and other factors. Validated decision tools that include procalcitonin have allowed us to safely avoid lumbar puncture, immediate empiric IV antibiotics , and admissions to hospital in a greater proportion of febrile infants than in the past. .start-quiz-before-box-text{ The goal, obviously, is to curtail inappropriate, frustrating or even, what an infant babysitter charges in North Carolina. Evaluation and Management of the Febrile Infant (Ped EM Practice 2019) (Free resident access) Pediatric Fever (EM:RAP 2018) Pediatric Fever (CDEM 2015) Clinical Guidelines. Although some infants have a potentially life-threatening invasive bacterial infection, such as. YEARS IN BUSINESS Scarfone R, Gala P, Sartori L, Ku B, Lavelle J, Abbadessa MK, Bell L, Kane E, Kahle E, Jacobstein C, Chiotos K, Metjian T. Childrens Hospital of Philidelphia (CHOP). To help inform you about the latest coronavirus (COVID-19) updates, experts from Children's Colorado have gathered information from local and national health authorities. The Presentations are not intended to constitute medical advice or treatment, nor should they be relied upon as such. } No part of the Presentations may be reproduced in any form by any means, or utilized in any other way, absent prior written permission from the copyright owner. You may want to ask them what babysitter duties theyll take on, what their past work experience is like, and if they have any references you can speak to. It is mandatory to procure user consent prior to running these cookies on your website. } Methods: In this single-center retrospective pre-post intervention study of febrile infants aged 29 to 60 days, we used interrupted time series analyses to evaluate outcomes of lumbar . There are 7 infant babysitters near you in Lenoir, NC. READ CAREFULLY. If you wish to report an issue or seek an accommodation, please, 442-H New York Standard Operating Procedures. Homes for Sale Near Caldwell County Pathways. The pathways include: Stratify patients based on by age and presenting symptoms Facilitate the avoidance of unnecessary interventions Can EM Cases incorporate all these decision tools and the upcoming Canadian Pediatric Society position statement on febrile infants recommendations into one concise algorithm? Fever without a source in pediatrics: child <3 years old, who after initial history and physical, do not have an identifiable cause of their fever, SBI: Serious Bacterial Infection includes urinary tract infection, bacterial meningitis and bacteremia, IBI: Invasive Bacterial Infection includes only bacterial meningitis and bacteremia. The Presentations are not intended to create a doctor-patient relationship between/among The Childrens Hospital of Philadelphia, its physicians and the individual patients in question. August 2021; 148 (2): e2021052228. (8)NW Newborn Clinical Guideline Urinary CatheterisationAccessed 12-18-2018. padding:40px; CLOSED NOW. This property has a lot size of 2.74 acres. Routine lab tests, neuroimaging and EEG, are not recommended for simple febrile seizures or complex febrile seizures without concerning features. Post-Operative Tonsillectomy and Adenoidectomy (T&A) Bleed Respiratory Distress with History of E-Cigarette Use/Vaping and EVALI (E-cigarette or Vaping Use Associated Lung Injury) Fever in Infants 0 to 60 Days Uncomplicated Acute Respiratory Tract Infections (ARTI), including Conjunctivitis, Acute Otitis Media, & Group A Strep (GAS) pharyngitis Laboratory testing should focus on age appropriate fever evaluation, Primary Care Perspectives: Podcast for Pediatricians, 2022 The Childrens Hospital of Philadelphia. We also use third-party cookies that help us analyze and understand how you use this website. Kuppermann N, Dayan PS, Levine DA, Vitale M, Tzimenatos L, Tunik MG, Saunders M, Ruddy RM, Roosevelt G, Rogers AJ, Powell EC, Nigrovic LE, Muenzer J, Linakis JG, Grisanti K, Jaffe DM, Hoyle JD Jr, Greenberg R, Gattu R, Cruz AT, Crain EF, Cohen DM, Brayer A, Borgialli D, Bonsu B, Browne L, Blumberg S, Bennett JE, Atabaki SM, Anders J, Alpern ER, Miller B, Casper TC, Dean JM, Ramilo O, Mahajan P; Febrile Infant Working Group of the Pediatric Emergency Care Applied Research Network (PECARN). This End User License is a legal agreement between you, the End User, and the Childrens Hospital of Philadelphia (CHOP). 2ba. doi: 10.1542/peds.2015-4381. A Pediatric Emergency Medicine Podcast to educate, enlighten and inform. This category only includes cookies that ensures basic functionalities and security features of the website. Pediatrics. A 13-year-old female child who presented to the Pediatric outpatient department of KISTMCTH with a history of fever and arthralgia for three months is presented. 2018 Jan 11;2(1):55-57. doi: 10.5811/cpcem.2017.11.36438. Infant Babysitters in Connelly Springs, NC, When parents set out to use a behavior chart for kids, they have the best intentions. If this is your first time attempting to login to the new website with an existing account, you will first need to reset your password before logging in. The Presentations are protected by copyright laws and in some cases patent laws, and all rights are reserved under such laws. As for me personally, I, Hi! PLEASE NOTE: For Clinical pathways which address well appearing, Febrile Infants ages 8-60 days based on REVISE II criteria please refer to the "Febrile Infant" JHACH/JHH Agile MD Clinical Pathways in Epic. All children should have a chance for a healthy future. Mountain Pathways School. This provider either practices in a department or specialty that we currently do not survey, or does not have at least 10 ratings in the last 12 months. This PEM Podcast episode was originally released on April 15, 2021. Biondi EA, McCulloh R, Staggs VS, Garber M, Hall M, Arana J, Barsotti B, Natt BC, Schroeder AR, Schroeder L, Wylie T, Ralston SL; American Academy of Pediatrics Revise Collaborative. (5)Urinary tract infection: clinical practice guideline for the diagnosis and management of the initial UTI in febrile infants and children 2 to 24 months [PubMed Abstract] [Full Text HTML] [Full Text PDF]. Pediatrics. I also love animals and have been a petsitter for friends and, Mary is all-around awesome! Create a team-oriented approach to efficient and timely evaluation and work-up 3. Important definitions for the febrile infant Fever: single temperature >38.0 rectal Fever without a source in pediatrics: child <3 years old, who after initial history and physical, do not have an identifiable cause of their fever SBI: Serious Bacterial Infection - includes urinary tract infection, bacterial meningitis and bacteremia You shall indemnify, defend and hold harmless CHOP, The Childrens Hospital of Philadelphia Foundation, and its/their current and former employees, officers, and agents, trustees, and their respective successors, heirs and assigns (Indemnitees) against any claims, liability, damage, loss or expenses (including attorneys fees and expenses of litigation) in connection with any claims, suits, actions, demands or judgments arising directly or indirectly out of your reference to or use of the Presentations. Given a baseline prevalence of 0.25 percent for bacterial meningitis in well-appearing febrile infants 29 to 60 days of age and use of a prediction rule with a sensitivity >90 percent, the risk of missed meningitis decreases to 0.025 percent among infants identified as low risk. Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Childrens Hospital of Philadelphia (CHOP), its physicians and the individual patients in question. Reducing Variability in the Infant Sepsis Evaluation (REVISE): A National Quality Initiative. August 2022. Some drugs and medical devices presented in the Presentations have United States Food and Drug Administration (FDA) clearance for limited use in restricted research settings. He is the founder, editor-in-chief and host of Emergency Medicine Cases. JAMA Pediatr. Pediatrics. Affiliated with the University of Colorado School of Medicine. Children's Hospital Colorado partners with NRC Health to gather star ratings and reviews from patients, residents and family survey data. LGBTQ Legal Protections updated by Movement Advancement Project, Homes for Rent Near Caldwell County Pathways, Off Market Homes Near Caldwell County Pathways, Trulia is a registered Trademark of Zillow, Inc. Zillow, Inc. holds real estate brokerage, Do Not Sell or Share My Personal Information, Zillow Group is committed to ensuring digital accessibility for individuals with disabilities. float:none; Housing protections include being unfairly evicted, denied housing, or refused the ability to rent or buy housing. They schedule and bill separately for their services, and are not employees of the Hospital. Please email me for my resume. Online Resources For Primary Care Physicians, Evaluation Of The Well Appearing Febrile Infant From CHOP Part 2 Of 4 2 to 24 Months Occult Bacterial Infections UTI, Approach To Febrile Infants In The Emergency Department lecture and accompanying slides, Evaluation Of The Well Appearing Febrile Infant From CHOP Part 1 Of 4 Less Than 60 Days Of Age, Evaluation Of The Well Appearing Febrile Infant From CHOP Part 3 Of 4 2 to 24 Months Pneumonia, Evaluation Of The Well Appearing Febrile Infant From CHOP Part 4 Of 4 2 to 24 Months Occult Bacteremia, ED Pathway for Evaluation/Treatment of Febrile Young Infants (0-56 Days Old), Pathway for Evaluation/Treatment of Child with Fever, Pathway for Evaluation And Treatment Of Child With Community-Acquired Pneumonia, Fever in under 5s: assessment and initial management, NW Newborn Clinical Guideline Urinary Catheterisation, Catheterization of the Urethra in Male Children, Congenital Adrenal Hyperplasia (CAH) From PedsCases, Reviewing Episode 13 Part 2: Killer Coma Cases The Intoxicated Patient From Emergency MedicineCases, Reviewing Episode 13 Part 1: Killer Coma Cases The Found Down Patient From Emergency Medicine Cases, The Best Way to Start a Podcast PCI 333 From Blubrrys Pod, Sturge Weber Syndrome Podcast From PedsCases With A Link To An Additional Resource, Neurofibromatosis Type 1 (NF1) From PedsCases With Links To Additional Resources, Approach To Childhood Glaucoma Podcast From PedsCases, Reviewing Episode 33: Oncologic Emergencies From Emergency Medicine Cases, Linking To The Referring Physician Imaging Ordering Guide: What to Order When From Radia, Oncologic Emergencies (Part2) From EMC Rapid Review Videos, Oncologic Emergencies (Part 1) From EMC Rapid Review Videos, Postmenopausal Bleeding From StatPearls, Anaphylaxis and Anaphylactic Shock From Emergency Medicine Cases, #382 Abnormal Uterine Bleeding From The Curbsiders With Links To Additional Resources, False negative point-of-care urine pregnancy tests in an urban academic emergency department: a retrospective cohort study-Links And-Excerpts, Links To A Minicourse On Subarachnoid Hemorrhage By Dr. Chris Nickson From Life In The Fast Lane, Coma-like Syndromes By Dr. Chris Nickson From Life In The Fast Lane, Best Case Ever 22: Nonconvulsive Status Epilepticus (NCSE) From Emergency Medicine Cases, Non-Convulsive Status Epilepticus From EM Quick Hits, Link And Excerpts From Long QT From StatPearls With An Additional Resource And A Caveat, Genetic Diseases 3: Genetic testing technologies From Pedscases, Genetic Diseases 2: X-linked inheritance From PedsCases, Link To And Excerpts From Syncope From StatPearls, Genetic Diseases 1: Autosomal dominant inheritance From PedsCases With A Link To A Resource On Long QT Syndrome, Two Lists From The New York Times: 50 Best Netflix Films Now And 50 Best Netflix TV Series Now, Links To Stanford Medicine 25s 10 Video Introduction To Ultrasound Series (Point of Care, POCUS), Common Mistakes in Point of Care Cardiac Ultrasound (Echocardiography, POCUS) From Stanford Medicine 25, Point of Care Cardiac Ultrasound (Echocardiography, POCUS) From Stanford Medicine 25, Basic cardiac POCUS: image acquisition-A Teaching Video From UBC IM POCUS, Link To Complete List Of ACOG Guidelines With Links To Some Examples. By starting this module, you agree to our Content Disclaimer and Terms of Service. 3401 Civic Center Blvd. float:right; Mt Pathways Montessori School. (3)Thermometry in paediatric practice [PubMed Abstract] [Full Text] [Full Text PDF]. The information contained in these Presentations are general in nature, and do not and are not intended to refer to specific patients. pii: e20154381. Application of the information in or to a particular situation remains the professional responsibility of the practitioner who is directly treating the patient. Displayed caregivers have had active Care.com profiles within the last 60 months but may not have current active accounts or background checks. J Fam Pract. Coronavirus (COVID-19) Resources and Updates, Addressing the Youth Mental Health Crisis, Physician Relations Networking Night Colorado Springs, Laboratory and Microbiology Test Directory, Stratify patients based on by age and presenting symptoms, Facilitate the avoidance of unnecessary interventions, Encourage shared decision-making between health providers and caregivers, Added revisions to align with the current American Academy of Pediatrics clinical practice guideline for febrile infants, Stratification of patients into three age-based risk categories (0 to 21 days, 22 to 28 days and 29 to 60 days), Prompts to promote shared decision-making between providers and caregivers, Suggested evaluation for febrile infants ages 0 to 60 days presenting with bronchiolitis, Suggested evaluation for ill-appearing infants ages 0 to 60 days. There has been a major paradigm shift in how we work up the febrile infant in the ED recently. This category only includes cookies that ensures basic functionalities and security features of the website. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioners professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located. 2011 Sep;128(3):595-610. doi: 10.1542/peds.2011-1330. I have watched children from the age of newborn to teens. benzodiazepine, Failure to return to baseline mental status. The session will also include special considerations for bronchiolitis and herpes simplex virus. .start-quiz-before-box-text{ CHOP is making available OPEN, (Materials) to you at no charge under the terms of this License. 2019 Apr 1;173(4):342-351. RESULTS: Five hundred twenty infants were enrolled. 2006 Apr;91(4):351-6. My children are 15, 11, and 9. She has been my dog/house sitter countless times. Under federal law, housing and employment discrimination based on sexual orientation and gender identity is unlawful. Febrile Infant Pathway (CHOP 2019) Consensus Statements. I can help with Light Housekeeping and Errands. To find the right infant babysitter for you and your family, you can search through babysitting websites like Care.com to find the right fit. They were created by a multidisciplinary team of content experts (including primary care, emergency medicine, hospital medicine, neonatology, infectious disease, nursing, and pharmacy) and process improvement professionals. Evidence-Based Guideline: Treatment of Convulsive Status Epilepticus in Children and Adults: Report of the Guideline Committee of the American Epilepsy Society, Episode 69: Recognizing and Treating Febrile Seizures, Duration > 5 min + Clinical Pathway Effectiveness: Febrile Young Infant Clinical Pathway in a Pediatric Emergency Department, Emergency department visits and hospitalizations for injuries among infants and children following statewide implementation of a home visitation model. Select from 17 infant babysitters near Lenoir, NC. STEP-BY-STEP Approach to Febrile Infants: MD Calc. From then, I received, I'd describe my personality as bubbly, energetic, trustworthy, and creative I do have experience with Special needs and administering medications. Infant Fever Overview. A score <2 can be used to identify infants with a history of fever only, who have a low probability of having an IBI, and who may not require CSF testing., #accordion-25764-1 .fusion-panel:hover{ border-color: #e0dede } #accordion-25764-1 .fusion-panel { border-color:#e0dede; }.fusion-accordian #accordion-25764-1 .panel-title a .fa-fusion-box{ color: #ffffff;}.fusion-accordian #accordion-25764-1 .panel-title a .fa-fusion-box:before{ font-size: 13px; width: 13px;}.fusion-accordian #accordion-25764-1 .panel-title a{font-size:14px;color:#333333;font-family:"Open Sans";font-weight:600;}.fusion-accordian #accordion-25764-1 .toggle-content{font-size:14px;color:#000000;font-family:"Open Sans";font-weight:regular;}.fusion-accordian #accordion-25764-1 .fa-fusion-box { background-color: #333333;border-color: #333333;}.fusion-accordian #accordion-25764-1 .panel-title a:not(.active):hover, #accordion-25764-1 .fusion-toggle-boxed-mode:hover .panel-title a { color: #9c1b1e;}.fusion-accordian #accordion-25764-1 .panel-title .active .fa-fusion-box,.fusion-accordian #accordion-25764-1 .panel-title a:not(.active):hover .fa-fusion-box { background-color: #9c1b1e!important;border-color: #9c1b1e!important;}, Drs.
chop pathway febrile infant
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