The well-child visit remains the cornerstone of pediatric primary care even in the face of a global pandemic. Given that children should have roughly 27 well-child visits by the time they are 18 years old, it is not surprising that some children present for well-child care while ill. Pediatric training emphasizes recognizing the sick versus well child and when to escalate care. Children often declare their illness in ways that are beyond measurement; the insidious signs of illness are uncovered through careful history-taking and thorough examination by a trained clinician.

During the coronavirus disease 2019 (COVID-19) pandemic, routine temperature measurements have become commonplace in public health efforts to screen for possible infection. Incidental fevers have implications in rates of COVID-19 testing, health care encounters, school or work absences, and social isolation. However, screening for asymptomatic COVID-19 infection by measuring temperature has many flaws, including both individual and environmental factors...

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