_ y/o patient _ UTD on childhood vaccines, otherwise healthy, full term presenting with fever. Currently well appearing and nontoxic. Given history and exam, low suspicion for serious bacterial infection including meningitis, pneumonia, or bacteremia. No meningismus, otherwise at baseline activity level with low suspicion for CNS infection. Query likely viral etiology. Discussed low risk but possible UTI and offered urine sampling, _ UA performed, _UA deferred after shared decision making with parents. No evidence of strep pharyngitis at this time. No evidence of torsion. Given history and exam, no overt evidence of emergent intrabdominal process, corneal abrasion or tourniquets causing fussiness.Fever resolved with antipyretic. Patient now consolable and well appearing in ED.  Patient is tolerating PO and appears well hydrated. Discussed alternating tylenol and ibuprofen as directed over the counter for antipyresis.
Discussed strict return precautions for worsening of symptoms, increased respiratory effort, signs of CNS infection including but not limited to changes in mental status or vomiting, or fever for more than 5 days. Discussed prompt follow up with primary pediatrician in 24-48 hours for recheck or return to ED sooner if concern or if cannot schedule appointment.
MDM for different chief complaints 
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Combative patient
Wilderness preparedness
ACEP clinical policies
Expedited partner therapy
SCVMC:CUSTODY CARE
FALLS protocol