Download - Paediatric Rashes
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The common and the dangerous
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Why does an adult ED Dr have to know;• Common paediatric presentation• Useful knowledge for the lay consult• Frequent adult fast track patient
presentation• Knowledge of at risk contacts• Recognition is 99% of the problem,
treatment/advice is usually simple
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Nomenclature of dermatology Classification system of different
rashes Management
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Pattern recognition• Age group• Progression of rash• Associated symptoms• Lesions
Type Distribution Special features
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8yo, fever, headache then rash Explosion of crops of lesions, first
face/scalp, then trunk and limbs over 1 day
Spares palms and soles
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10yo, coryza, conjunctivitis, cough, fever
Maculopapular rash, starts behing ears, descends, becomes confluent on upper body
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5yo girl, fever, arthralgias, malaise Day 3 rash on face, fevers resolved Day 7 lacy rash on body
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4yo boy Fever, coryza, lethargy, mild
diarrhoea Painful lesions in/around mouth
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1yo, high fever, irritable Day 3, florid rash, fever abates
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8yo, sore throat, fever Day 2 – rash on trunk, spreads widely
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3yo girl, Asian descent 3 days high fever, irritable, rash =
lower abdo and groin, hands and feet Mild transaminitis, high platelets
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4yo, non blanching rash on lower limbs
Painful feet, mildly swollen Afebrile, systemically well 1 week post URTI
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14 yo girl, onset of rash over 1 week, been present for 3 weeks
Seen 2 GPs Systemically well, no other Sx
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5yo boy, African descent Referred by GP with massive painless
abscess on scalp for surgical review Systemically well
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3yo, 1 week post first coldsore Onset of rash, mildly itchy, mild
fever, systemically well
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Progression of rash Associated symptoms Be a detective! Look in/at the;
• Mouth• Hands and feet• Nappy area and creases