How to prepare for a video visit about Fever Without Source (Child) - Triage

Audience: pediatric

When a child has a fever without an obvious cause, it can be worrying for parents and caregivers. A video visit with a healthcare provider can help assess the situation, guide care, and decide if further evaluation is needed. Preparing well for this visit helps make the most of the time with the provider. This includes noting the child's temperature, symptoms, and any recent exposures or illnesses. During the visit, the provider will ask questions and may observe the child to understand the fever's possible cause. While many fevers resolve on their own, some need urgent care. This guide helps families prepare for a telemedicine visit about a child's fever without source, what to expect, and when to seek emergency care. Remember, telemedicine is a helpful tool but not a replacement for in-person medical evaluation when needed.

Red flags — go in person / ER

• Child has difficulty breathing or rapid breathing — seek emergency care immediately.
• Child is unusually drowsy, hard to wake, or unresponsive — call emergency services right away.
• Child develops a non-fading rash or has seizures — get urgent medical help immediately.

What telemedicine can do

• Initial assessment of fever without clear source in stable children.
• Guidance on home care and monitoring for fever.
• Advice on when to seek in-person or emergency care.

What telemedicine cannot do

• Physical examination requiring hands-on assessment.
• Emergency situations needing immediate in-person intervention.
• Diagnostic tests such as blood work or imaging.

What is Fever Without Source in Children?

Fever without source means a child has a fever but no clear signs of infection like cough, rash, or ear pain. It is common in young children and often caused by viral infections that are hard to detect. Sometimes, the cause is more serious and needs careful evaluation.

Preparing for Your Video Visit

Before the visit, take your child's temperature using a reliable thermometer. Note the highest temperature and when it started. Write down any other symptoms such as irritability, poor feeding, vomiting, or rash. Have your child's age, medical history, and any medications ready to share with the provider. Find a quiet, well-lit place for the video call where you can show your child clearly.

What to Expect During the Video Visit

The healthcare provider will ask about your child's symptoms, how the fever started, and any recent contacts with sick people. They may ask to see your child on camera to check for signs like breathing difficulty or unusual behavior. Based on this, they will advise on next steps, which may include home care or visiting a clinic or emergency room.

When to Seek Emergency Care Immediately

Some signs require urgent medical attention. If your child has difficulty breathing, is very sleepy or hard to wake, has a stiff neck, persistent vomiting, seizures, or a rash that does not fade when pressed, call emergency services or go to the nearest emergency room right away.

Managing Fever at Home

If the provider advises home care, you can help your child feel better by giving fluids, keeping them comfortable, and using fever-reducing medicines as directed. Monitor their symptoms closely and follow the provider's advice on when to have a follow-up visit or seek in-person care.

How to prepare for your tele-visit

• Measure and record your child's temperature with a reliable thermometer.
• Note the time when the fever started and highest temperature recorded.
• List any other symptoms your child has, such as vomiting, rash, or irritability.
• Prepare your child's medical history and current medications.
• Choose a quiet, well-lit area for the video visit where you can show your child clearly.
• Ensure your device is charged and has a stable internet connection.
• Have a pen and paper ready to take notes during the visit.

After your tele-visit

• Follow the healthcare provider's instructions on home care and medications.
• Monitor your child's symptoms and temperature regularly.
• Schedule any recommended follow-up visits or tests.
• Seek immediate in-person care if any red flag symptoms develop.
• Keep emergency contact numbers handy in case the child's condition worsens.

FAQs

What should I do if my child’s fever lasts more than 3 days?

If your child's fever continues for more than 3 days, contact your healthcare provider for further evaluation. Persistent fever may need additional tests to find the cause.

Can I give my child fever-reducing medicine before the video visit?

Yes, you can give age-appropriate fever-reducing medicines like acetaminophen or ibuprofen as directed on the package or by your healthcare provider. Inform the provider about any medicines given during the visit.

How accurate is a video visit for assessing my child’s fever?

Video visits allow providers to ask detailed questions and observe your child, which helps in assessing the situation. However, some conditions require in-person exams or tests. The provider will advise if an in-person visit is needed.

What if I cannot show my child clearly on camera?

Try to position your device so the provider can see your child’s face and body as much as possible. If this is difficult, explain your child's symptoms clearly. The provider may decide if an in-person visit is necessary.

Sources

1. Fever in Children: When to Seek Medical Help — MedlinePlus | U.S. National Library of Medicine / National Institutes of Health.
2. Fever in Children: Clinical Overview — Centers for Disease Control and Prevention (CDC).
3. Fever in Children: Patient Care and Health Information — Mayo Clinic.
4. Fever Without Source in Children — American Academy of Pediatrics (AAP).

This telemedicine guidance is for educational and triage purposes only and is not a substitute for in-person medical care. If your child shows any emergency symptoms or if you are concerned about their health, seek immediate in-person evaluation.