Sharma, PRBhattarai, PSharma, M2026-07-062026-07-062005https://hdl.handle.net/20.500.14572/6860P.R. Sharma Department of Child Health., Institute of Medicine, Maharajgunj, Kathmandu P. Bhattarai Department of Child Health., Institute of Medicine, Maharajgunj, Kathmandu M. Sharma Department of Child Health., Institute of Medicine, Maharajgunj, KathmanduAbstract Nearly seventy percent of all children between the ages of one week and two-years-of-age are brought to Kanti Children’s Hospital for some Type of febrile episode.And 50% of these visits are for temperatures greater than or equal to 39 degrees celsius. These children may have significant bacterial infection. In 35% of these childrenn there’s no definable source for the fever on clinical examination. So the child that don’t have identifiable sources could be either bacteremic, meningitis or could have a bone or joint infection in evolution. Simple clinical observation to differentiate a well looking infant from a toxic infant helps to differentiate children who needs admisson or out patient follow-up.en-USArticle