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Doctor insights on: Fever And The Emergency Room

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At what degree shouldd I take my daughter to the hospitol by?

At what degree shouldd I take my daughter to the hospitol by?

NO NUMBER: More important: how is she acting? --is she lethargic ( weak, limp) (sign of serious infection) --is she short of breath? (sign of pneumonia) --is she in pain (sign of appendicitis ...) --is she vomiting (getting dehydrated) these are what we are looking for not the height of a fever a lethargic child with a 101 temp is more serious than a child still playing with 103 temp. ...Read more

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My 2 year old daughter has a 103 degree fever. Should i take her to the er? We are on vacation, flying home tomorrow.

My 2 year old daughter has a 103 degree fever.  Should i take her to the er?  We are on vacation, flying home tomorrow.

Depends: On other symptoms than fever. Vomiting, diarrhea, coughing, or shortness of breath , or or strange rash or mental status changes would suggest sooner rather than later. If she is still mentally alert, drinking fluids, and "not looking toxic" you could treat the fever with Acetaminophen or Ibuprofen or tepid sponge baths to lower the temp. Or try to call your doctor back home and get his/her advice. ...Read more

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My daughter hand have a 2nd degree burn from a exploding firework. How long might she take to get over the trauma of the burn?

My daughter hand have a 2nd degree burn from a exploding firework. How long might she take to get over the trauma of the burn?

Days to weeks: It all depends on the depth of the burn and the type of wound care carried out. Wash with soap and water and apply antibiotic ointment to the open areas and keep covered. Don't let it dry out. If the burn wound is deeper see a wound care specialist. I assume your daughters tetanus immunization is up to date. ...Read more

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Daughter has a fever 101.4 degrees. And threw up. Do I take her to the ER or pediatrician? She seems fine otherwise. She's 12 months old. Weighs about 20 pounds. She threw up last night as well. She's eating a bit as well as playing but clingy

Daughter has a fever 101.4 degrees. And threw up. Do I take her to the ER or pediatrician? She seems fine otherwise.  She's 12 months old. Weighs about 20 pounds. She threw up last night as well. She's eating a bit as well as playing but clingy

Watch and see: Give her some tylenol (acetaminophen) or ibuprofen and a wash down with a washcloth soaked in lukewarm water. Fever should be down in 30 minutes or less. I will be here for the next 2 and a half hours. Let me know how it goes or log in for a consult. Also give her pedialyte to keep her fluids going. If she is vomiting fluids, you need to take her to the ER. ...Read more

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Help, at what temperature should I take my daughter to the hospital?

Help, at what temperature should I take my daughter to the hospital?

Other symptoms?: Fever is over-rated as an indicator of seriousness.A kid with a 103f temp, who is taking fluids well enough to void every 6-8 hours is at low risk for dehydration. If alert and aware, with mild increase in heart rate and breathing, you may do well to wait until a regular doc is available.If excessively sleepy, refusing fluids, or showing other sx suggestive of big problems go now. ...Read more

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Should i take my daughter to the hospital to treat her dizziness?

Should i take my daughter to the hospital to treat her dizziness?

Yes: In hosp. A ct first and if a suggestive image is obtained then a MRI of cervical /dorsal spine, also anheent shoult evaluate her for a cause of vertigo. ...Read more

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What age should I take my daughter to the dentist? She 9months now and has four teeth.

What age should I take my daughter to the dentist? She 9months now and has four teeth.

Between 1-3 years: Go whenever you can find a pediatric or family dentist who will see her at her age. Do watch and clean those teeth gently. Make sure she doesn't sleep with a bottle. The pediatrician can sometimes paint teeth with Fluoride to protect them if you can't get a dentist to see her. Vitamin + Fluoride drops can be used if needed. Even though she'll lose the baby teeth, they're still important for now! ...Read more

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When should I take my daughter to the doctor if I suspect she had the flu? She is 13.

When should I take my daughter to the doctor if I suspect she had the flu? She is 13.

ASAP!: The course of influenza is very variable but more serious so if your child has an underlying illness. CDC advisory this year recommends aggressive, expedient treatment of any body with influenza like illness who looks ill. Medications are more effective if started early in the course of illness. I am a strong advocate for yearly influenza vaccine. Do take care and stay healthy. ...Read more

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Should i take my daughter to the hospital? She has small red dots all her calves, she's had them about three days, she now has a fever of 101, she doesn't want to eat, she is extremely cranky, and she isn't urinating as frequantly. She's 14 months

Should i take my daughter to the hospital? She has small red dots all her calves, she's had them about three days, she now has a fever of 101, she doesn't want to eat, she is extremely cranky, and she isn't urinating as frequantly. She's 14 months

Fevers : Fevers for the most part aren't dangerous and are just the body's natural reaction to fighting off an infection. Most of these infections are viral and may be accompanied by runny nose, sore throat, congestion, mild rash, or nothing at all. Since fevers aren't dangerous, we usually treat the fever with Acetaminophen or Ibuprofen just to make the child more comfortable as their body fights the illness. "red flags" that we look for with fever to indicate something more serious is going on are: -fevers that last 5 days or more -fevers persistently above 104f orally -a child that acts very sick - very irritable or difficult to wake -difficulty breathing -vomiting, diarrhea, refusal to drink, or dehydration (no urination in 8 hours) -a purple rash, esp on the legs -stiff neck -any complaints of pain such as the ear, throat, stomach or a joint -worsening symptoms as always, use your judgement. If you think that your child is ill, err on the side of caution and call your child's doctor. ...Read more

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Should I take my daughter to her regular doctor or to the sports medicine clinic for her sprained ankle?

Should I take my daughter to her regular doctor or to the sports medicine clinic for her sprained ankle?

Ankle Sprain: A well trained foot and ankle specialist can assist you with this. This can be a podiatric physician or a foot and ankle orthopedist. Look for board certified status and the recommendation of a family member or friend or your pcp. ...Read more

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Can i take my daughter to another hospital ER she was sent home from one hospital eventhough she had blood in her ear canal she has a ear avm?

Can i take my daughter to another hospital ER she was sent home from one hospital eventhough she had blood in her ear canal she has a ear avm?

Your choise: Going from one facility to another does not mean they will handle the issue any differently. If your child has a specific issue with the ear, followup with an ENT who has specialized training and equipment would be more likely to provide specific care. ...Read more