MedBugs: SAQ #30

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Case: 3yo with a rash

A 3-year-old girl is brought into your Emergency Department with an erythematous rash. She has no significant past medical history and no allergies. She lives at home with her parents and an older brother who have been well recently. Her parents are conscientious objectors to vaccination.

1. Apart from measles, list (4) differential diagnoses for her rash. 4 marks

2. List (4) characteristics of the rash associated with measles. 4 marks

Testing confirms a diagnosis of measles. The patient had actually been seen in your ED 2 days prior and discharged home with a diagnosis of viral URTI after passing a trial of oral fluids. On initial assessment today, her vitals are within normal limits and she appears alert.

3. State (4) important management steps. 4 marks

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Case: 3yo with a rash

1. Apart from measles, list (4) differential diagnoses for her rash. 4 marks

2. List (4) characteristics of the rash associated with measles. 4 marks

3. State (4) important management steps. 4 marks

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