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Note: conundrums are not meant to have a “right” answer – they are to see how most people are practicing. Would love your comments also regarding your thought processes and the evidence behind your decisions. We can learn from each other!

Your emergency medicine colleague has a 7mo old, immunized, well-appearing, no PMH, with a fever of 40 C and no other symptoms. They have been scrupulously self-isolating, wiping down packages, etc. Your colleague has adhered to maximal PPE use including using N95s usually at work. No one around the child has been symptomatic. Your colleague asks what work-up you suggest in this era of COVID.

Work-up for febrile well-appearing 7mo in COVID times?

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