Dr Kyle KophamelCME 14 Jan 2016

The Kid with a rash…

AimWhat’s the use for us in Charlies?DescriptionApproachPictures and Cases

Why learn about em?You will get asked. Inside ED or out. Fast TrackPaediatric terms and exams

Common paediatric presentation

Pattern recognition takes practiceKnowing who is at risk

Description:

Description:Nomenclature

Macule/PatchPapule/PlaqueNoduleVesicleBullae

PustulePetechiaPurpuraEcchymosesWheal

Description:Macule / Patch

Description:Macule / Patch

Description:Papule / Plaque

Description:Nodule

Description:Vesicle

Description:Bullae

Description:Pustule

Description:Petechiae / Purpura / Ecchymoses

Description:Wheal

Approach:Age DemographicProgression / ProdromeAssociated signs and symptomsLesions

Types of lesionsSizeLocation / DistributionSpecial features

Specific ExamplesDescribe what you seeHistory

ProgressionProdromeSymptoms

Clinical examinationLesions – Size/Location/DistributionSigns

1.

1. Varicella Zoster (Chickenpox)

2.

2. Impetigo

3.

3. Urticaria

4.

4. Hand, Foot, Mouth Disease

5.

5. Measles

6.

6.Scarlet Fever

7.

7. Kawasaki Disease

8.

8. Ringworm

9.

9. EczemaHerpeticum

10.

10. Erythema Multiforme

11.

11. ErythemaNodosum

12.

12. Erythema Infectiosum (5th Disease)

13.

13.Henoch-SchönleinPurpura

14.

14. Immune ThrombocytopeniaPurpura (ITP)

15.

15. Meningococcal Septicemia

16.

16. Seborrhoeic Dermatitis

17.

18. Molluscum Contagiosum

18.

18. Pytyriasis (Tinea) Versicolor

19.

19. Psoriasis

20.

20.Scabies

What you should’ve learnt:Well vs unwellDescribe what you seeProgression / prodrome of rashSymptoms accompanying rashLook, look, look.

Thanks!