What to Expect the Toddler Years (200 page)

in a child with a history of chronic lung disease, rheumatic fever, kidney disease; call within 24 hours.

Sore throat accompanied by:

fever over 102
^o
F (39
^o
C); call during regular office hours.

discomfort when swallowing; call during regular office hours.

severe difficulty swallowing, drooling;
call immediately.

white spots or blisters on reddened throat (see page 613); call during regular office hours.

swollen, or tender, glands in the neck (see page 576); call during regular office hours.

a rash; call as soon as rash appears.

hoarseness that lasts 2 weeks; call within 24 hours.

Bleeding:

Report any of the following symptoms to the doctor
immediately:

blood in the urine.

blood in the stool (except for streaks of blood that you know are from anal fissures).

blood in sputum or phlegm.

blood leaking from the ears.

General demeanor:

Also
call immediately
if your toddler displays any of the following symptoms:

severe lethargy, with or without fever; a semi-awake state from which he or she can’t fully be roused; lack of responsiveness.

crying or moaning as if in pain, when moved or touched.