Pedemy All toolsAnswer a few questions to sort sinusitis, a swollen neck node or a deep neck infection and get the next steps with weight-based doses.
This tool helps a clinician decide whether a child with a cold has acute bacterial sinusitis, using the three AAP patterns: persistent symptoms for 10 days or more, a worsening course, or a severe onset. It chooses amoxicillin, high-dose amoxicillin-clavulanate, or an allergy alternative (oral cephalosporin, clindamycin plus cefixime, or levofloxacin for type 1 allergy), and offers the 3-day observation option for persistent symptoms. Orbital and intracranial complications route to imaging and IV antibiotics.
For a neck lump it screens first for malignancy red flags, then separates reactive nodes, acute bacterial lymphadenitis (oral or IV treatment, drainage when fluctuant) and subacute nodes. Subacute nodes are sorted by clue into cat scratch disease (azithromycin for a large node), nontuberculous mycobacteria (complete excision, no routine antibiotics), tuberculosis and a targeted workup.
For severe sore throat or neck stiffness it addresses peritonsillar and retropharyngeal abscess, puts the airway first, and gives imaging, drainage and IV antibiotic choices with oral step-down. Doses are per kilogram with per-dose maximums, and weight entry is optional.
When symptoms persist 10 days or more without improvement, worsen after initial improvement, or start severely with fever of 39 °C or more and purulent discharge for 3 days. For persistent symptoms, a 3-day observation period is an option.
Amoxicillin, 45 or 90 mg/kg/day in 2 doses. Use high-dose amoxicillin-clavulanate for children under 2, in child care, with recent antibiotics, or with moderate to severe illness.
No, not for uncomplicated sinusitis. Contrast CT is for suspected orbital or intracranial complications, and MRI is preferred for intracranial spread.
Complete surgical excision is the treatment of choice. Incision and drainage should be avoided because it leaves a draining sinus, and routine antibiotics are not recommended.
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