n RASHES QUIZ Y A MAMOOJEE A young

n RASHES – QUIZ §Y A MAMOOJEE

A young child presents to the local ED with a fever, rash, and lymphadenopathy. An examination of his mouth demonstrates

QUESTION 1: DESCRIBE THE APPEARANCE n QUESTION 2: WHAT IS THE MOST LIKELY APPEARANCE n QUESTION 3: WHICH SYSTEM IS MOST LIKELY TO BE AFFECTED BY COMPLICATIONS n ¨ RESPIRATORY SYSTEM ¨ CARDIOVASCULAR SYSTEM ¨ GENITO URINARY SYSTEM ¨ NEUROLOGIC SYSTEM ¨ MUSCULO SKELETAL SYSTEM

A 3 -year-old girl presents with a blistering rash on her face and body.

n n n n QUESTION 4: WHAT IS THE DIAGNOSIS? QUESTION 5: All of the following are true statements except A. Medications, including nonsteroidal antiinflammatory medications (NSAIDs), sulfonamides, antiepileptics, and allopurinol, are commonly accepted triggers B. Viruses, such as herpes simplex virus, Epstein. Barr virus, enteroviruses, and influenza, are accepted triggers C. Malignancy can be associated with SJS D. Bacterial etiologies include mycoplasma and group A beta-hemolytic streptococcus, among others E. Idiopathic causes are unlikely

A 4 -month-old girl presents to the ED in extremis with rapidly developing gangrene of the extremities

n QUESTION 6: WHAT IS THE DIAGNOSIS

QUESTION 7: DESCRIBE THE KEY FEATURES OF THE RASH IN 2 WORDS

n n n All of the following are true of meningococcemia EXCEPT: A. The mortality rate is 5%-10% B. Meningitis is present in all cases of septicemia C. Empiric antibiotic treatment should be initiated immediately D. Transmission is person-to-person by direct contact via respiratory droplets E. Gangrene is caused by arterial occlusion

A child is brought into his pediatrician's office after developing a diffuse rash. His parents do not believe in vaccinations

n n n You suspect that the child has developed measles. All of the following are true about measles EXCEPT: A. Measles is a leading cause of death in young children worldwide B. The classic triad is cough, coryza, and conjunctivitis C. Koplik spots are pathognomonic white spots that appear on the buccal cheeks D. A major early complication is acute sclerosing panencephalitis E. Since the introduction of the measles vaccine, the annual incidence in the United States has decreased by 99%

An 11 -year-old girl presents with raised violaceous plaques on her legs and arms that developed over the last few days. She has had a temperature at home but no other complaints. The rest of her exam is normal

n n n You conclude that she has Henoch-Schonlein purpura (HSP). Which of the following tests are most appropriate to perform at this point? A. FBC, lumbar puncture B. FBC, electrolytes, stool for occult blood, urinalysis C. FBC, electrolytes, stool for occult blood, renal ultrasound D. FBC, head CT, lumbar puncture, abdominal ultrasound E. FBC, abdominal ultrasound