a school nurse is assessing a school-age child who has erythema infectiosum This is a topic that many people are looking for. newyorkcityvoices.org is a channel providing useful information about learning, life, digital marketing and online courses …. it will help you have an overview and solid multi-faceted knowledge . Today, newyorkcityvoices.org would like to introduce to you Pediatric Rashes – Part 1: Diagnosing Pediatric Exanthem Diseases. Following along are instructions in the video below:
Pediatric rashes how to correctly diagnose pediatric exam thumb diseases a four year old boy boy presents to your office with fever and a prominent rash on his upper body young boy appears to be quite ill his parents report that the rash appeared yesterday six classical pediatric exam. Thumbs immediately come to mind measles scarlet fever rubella also termed german measles erythema infect. Osem or fifth disease.
Roseola and phantom and varicella also known as chickenpox. How do we correctly characterize the patients rash on close examination. The characteristic distribution and morphology allows for differentiation in measles.
There is a narrow maddis partially confluent exam thumb of a dark red color. Which usually begins behind the ears and disseminates to the rest of the body in addition. There is also a pathognomonic and anthem of the palate as well as complex spots.
Which are clusters of white lesions in the mouth of the patient. Conjunctivitis is also observed in the majority of patients in scarlet fever. There is a fine light red and maculopapular rash.
But develops into a scarlet like partially confluent rash after one to two days. The rash initially begins on the neck and spreads to the rest of the body. It is usually most pronounced in the underarm and groin areas non blanching petechiae or past tias lines.
May also be present. The patients face is usually red with perioral pallor. Another classical symptom is a bright red tongue color with enlarged papillae also termed strawberry tongue.
If the patients rash presents as non confluent pink and maculopapular. Then it is most likely rubella like measles. The rash begins primarily behind the ears and extends to the rest of the body patients with erythema infect.
Osem or v. Disease. Do not necessarily develop a rash red papules may emerge on the extremities and trunk that eventually adopt a lace like reticular appearance in addition a blotchy red rash may appear on the cheeks which grouped together within a few hours to form red slightly swollen warm plaques with nasal and perioral sparing because of this redness on the cheeks erythema infect gom is also termed cheak syndrome.
If the patients rash is patchy rose pink and usually most pronounced on the torso. Then it is characteristic of roseola and phantom which is also called exam thumb sue beatem or three day fever before the exam theme fades patients experience. A febrile phase with three days of high fever followed by a sudden decrease in temperature.
Finally. The rash could also be chickenpox the rash observed in chickenpox is widespread affecting the entire body including the scalp and oral mucosa. It begins with the appearance of small red bumps that develop into fluid filled blisters and pustules that finally form scabs because the rash simultaneously occurs in different stages.
The term starry sky is sometimes used to describe this characteristic clinical finding now back to the young boy mentioned at the beginning his diagnosis is chickenpox. Which is evident from the different stages of blister formation that form a starry sky appearance music. .
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