Suggested Pre-Referral Evaluation and Management Guidelines
Treat with antibiotics. Children with high fever, poor intake, or significant pain may require ER evaluation and parenteral therapy. Ensure good fluid intake and treat any constipation. Following treatment place on prophylaxis with amoxicillin (20mg/kg daily) if <3mos or Bactrim (2mg of TMP/kg/daily) for those older.
Suggested Additional Test/Management Prior to Specialty Visit