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Fever durationChoose oneFirst line
Kawasaki features presentChoose any
Kawasaki features absentChoose any
Other red flags presentChoose any
Other red flags absentChoose any
HistoryChoose any
SourceChoose one
LabsChoose any
Labs deferredChoose any
CRP resultChoose one
ESR resultChoose one
Supplementary findingsChoose any
AssessmentChoose one
PlanChoose any
Additional planChoose any
DispositionChoose one
Follow-upChoose one
Follow-up reasonChoose anyJoins the line above
Counseling
Most long fevers in children come from viral infections, but a fever that keeps going needs repeat exams to look for other causes, including Kawasaki disease. Recommended supportive care with tylenol or motrin as needed with an emphasis on hydration and keeping the fever diary. Return precautions given including red eyes, a new rash, red or cracked lips, swollen or peeling hands or feet, a swollen neck gland, poor drinking or much less urine, increasing pain, unusual sleepiness or irritability, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.
CounselingNot in the note with these choices
Discussed the need for emergency evaluation today. Caregiver expressed understanding and agreement with plan. Answered all questions.
CounselingNot in the note with these choices
Discussed the reasons for hospital admission. Caregiver expressed understanding and agreement with plan. Answered all questions.
Assessment: no KD features, viral, incomplete KD, complete KD
Fever diary; hold antibiotics; MMR status; exposures
Re-evaluate in 1-2 days if fever persists
Return precautions in the template
red eyesa new rashred or cracked lipsswollen or peeling hands or feeta swollen neck glandpoor drinking or much less urineincreasing painunusual sleepiness or irritability