Fever Without a Focus in Children | A Practical Approach for Pediatric Residents

Fever Without a Focus in Children: A Practical Approach for Pediatric Residents | Pediatric Wisdom A child presents with fever, but there is no obvious source of infection. What should you do next? Which children need urgent investigation, which tests should you order, and when is observation appropriate? In this 5-minute clinical teaching video, we discuss a structured, age-specific approach to fever without an identifiable focus, designed for FCPS Pediatrics residents, postgraduate trainees and medical students. What you will learn: How to assess a febrile child before ordering investigations Red flags that may indicate serious illness Why age matters, particularly in infants younger than three months When to consider urine testing, blood investigations, chest X-ray and lumbar puncture How to decide between further investigation and observation How to provide effective safety-netting and return precautions Who should watch? FCPS Pediatrics residents, postgraduate trainees, medical officers, emergency clinicians and MBBS students. Clinical references for further reading: NICE guideline NG143: Fever in under 5s—assessment and initial management NICE guideline NG254: Suspected sepsis in people under 16 WHO Emergency Triage Assessment and Treatment (ETAT) guidance Always check the current guideline version and your institution's local protocols, especially for febrile young infants. This video is for medical education and does not replace individualized clinical assessment, emergency management or senior clinical advice. If this clinical pearl helped you, please LIKE, SHARE and SUBSCRIBE to Pediatric Wisdom for concise, practical pediatric teaching. #FeverWithoutFocus #PediatricWisdom #Pediatrics