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December 4, 1991

Pediatric Cough and Fever: An Exercise in Clinical Problem Solving

Author Affiliations

The Permanente Medical Group Pleasanton, Calif

The Permanente Medical Group Pleasanton, Calif

JAMA. 1991;266(21):3051-3052. doi:10.1001/jama.1991.03470210121050

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


Hands-on learning: that's an apt phrase for Pediatric Cough and Fever, a tutorial program from Mitchell J. Feldman, MD, and his colleagues at the Massachusetts General Hospital and Harvard Medical School. Pediatric Cough and Fever is part of the RxDx Training by Computer Series.

Cough with fever is an extremely common complaint in most general pediatric practices. The underlying causes can range from the benign to the life-threatening. Pediatric Cough and Fever offers a repertoire of 36 simulated pediatric cases, 18 of which are classic presentations, while another 18 represent more difficult and atypical challenges. Running the gamut from "upper respiratory infection—viral" to "epiglottitis," the teaching caseload includes asthma, croup, sinusitis, chlamydial infection, pertussis, tuberculosis, mycoplasma, congestive heart failure, foreign body aspiration, and many others.

Intelligent alternatives in diagnostic workup and management exist for many diseases. The authors explain that Pediatric Cough and Fever's value judgments represent the opinions