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Grand Rounds: Stay cool when things get hot: An Approach to Recurrent Fevers


By Steven Spalding, MD , Director, Division of Rheumatology, Akron Children's Hospital, Akron, OH


More about Steven Spalding, MD

Objectives (Educational Content) :

1. Describe pathophysiology of body temperature control and impact on temperature measurement. 2. Differentiate between ‘Periodic Fevers’, ‘Recurrent Fevers’ and ‘Fevers of Unknown Origin’. 3. Recognize findings consistent with auto-inflammatory disorders and initiate appropriate investigatory studies.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists and nurses

Identified Gap:

New information on determining various types of fevers.

Estimated Time to Complete the Educational Activity:

1 hour

Expiration Date for CME Credit:


Method of Physician Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CME credit.


Dr. Spalding has indicated that he has no relevant financial interest in any pharmaceutical or medical device company and that this activity was developed independent of commercial interest.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 125 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.


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