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    Pediatric Patient with Fever and Jaw Pain - Case of the Week

    Pediatric Patient with Fever and Jaw Pain - Clinical Patient Case of the Week

    Try this free Pediatric EM Signs and Symptoms Case Q&A courtesy of Med-Challenger.

    This HCV infection case comes from our Pediatric Emergency Medicine Review and Answer Resource, part of Med-Challenger's library of board exam review and CME question banks.

    For more free clinical knowledge review questions, subscribe to the Med-Challenger Medical Education Blog

    Try this case and test your knowledge of pediatric fever and jaw pain.

    A 4-year-old female presents with increased fever, jaw pain and irritability for 2 days.

    She presented to her PCP 5 days earlier with cough, rhinorrhea and ear pain and was started on amoxicillin for acute otitis media.

    For the past day, she has had persistent fever to 39ºC, more frequent crying, and decreased level of activity.

    She had 2 episodes of non-bloody, non-bilious emesis in the morning.

    Her T is 39.1ºC, HR 150, RR 24, and pOx 99%.

    On PE, she is tired appearing but cooperative.

    On otoscopy, you note a bulging right tympanic membrane filled with purulent, yellow fluid.

    Her external exam is shown as follows:

    Pediatric Patient with Fever and Jaw Pain case


    Which of the following is a known complication of this disease process?

    Answer Options:

    Cranial nerve III palsy

    Dental abscess

    Orbital cellulitis

    Cavernous sinus thrombosis

    Dural sinus thrombosis

    See the Answer:

    Want more patient case questions like this?

    This case is a sample from the following Med-Challenger exam prep and continuing medical education package.

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