MedBugs: SAQ #434

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Case: Fever and rash

A 6-year-old boy is brought into the Emergency Department with a 3-day history of skin rash and fever. He looks unwell and has bilateral conjunctival injection. His vitals are : T 38.7; HR 100; RR 28; Sats 98%RA

1. What is the most likely diagnosis and list (2) supportive features. (3 marks) 3 marks

2. List (5) other differential diagnoses for the above skin rash. (5 marks) 5 marks

3. List (2) investigations that are required to confirm or exclude the likely diagnosis. (2 marks) 2 marks

4. List (5) possible complications from the above condition. (5 marks) 5 marks

5. List (3) other notifiable ‘common’ childhood viral infections. (3 marks) 3 marks

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