A 3-year-old boy is brought to A&E with a 1-day history of fever and lethargy. He is irritable, tachycardic and tachypnoeic. His capillary refill time...

Question

A 3-year-old boy is brought to A&E with a 1-day history of fever and lethargy. He is irritable, tachycardic and tachypnoeic. His capillary refill time is 4 seconds. According to NICE fever guideline traffic light system, which of the following features is a 'red' (high-risk) feature requiring urgent assessment and possible admission?

Accepted Answer

Prolonged capillary refill time

Answer

Temperature of 38.2°C

Answer

Mild coryzal symptoms only

Answer

History of simple febrile convulsion 2 years ago

Answer

Age over 3 years

uk-plab-1 MCQ (SBA): Fever in under‑5s – risk stratification