MedBugs: SAQ #516

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Case: Non blanching rash

A 5-year-old girl is brought to the Emergency Department by her parents with a non-blanching rash that has appeared overnight. A photo of the patient’s left foot is shown.

1. Describe the findings. 1 mark

Your examination reveals a well appearing child, normal vital signs, afebrile. Platelet count is 9.

2. What is the most likely diagnosis? 1 mark

3. Give (3) further assessment findings that would support your most likely diagnosis. 4 marks

4. State the treatment options for this condition. 3 marks

The patient is deemed safe for discharge with a plan for outpatient follow-up.

5. What information and advice will you provide to her parents on discharge? 3 marks

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