MedBugs: SAQ #632

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Case: Rash

You are asked to review a 58-year-old male with a history of osteoarthritis presenting with an extensive rash and conjunctivitis following a flu-like illness the previous week.

Vital signs are as follows:

HR 125, BP 115 / 80, RR 24, Temp 38°C

You estimate a total body surface area involvement of 30% and make a presumptive diagnosis of SJS / TEN. The patient asks what could have caused this and what his prognosis is.

1. Aside from antibiotics, list (4) medications that are known to cause SJS/TEN 4 marks

2. List (3) components of the SCORTEN mortality score in SJS / TEN. 3 marks

3. Briefly state the details of your management steps for this patient 5 marks

4. Complete the table with (3) acute & (3) chronic complications of SJS / TEN. 6 marks

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Case: Rash

1. Aside from antibiotics, list (4) medications that are known to cause SJS/TEN 4 marks

2. List (3) components of the SCORTEN mortality score in SJS / TEN. 3 marks

3. Briefly state the details of your management steps for this patient 5 marks

4. Complete the table with (3) acute & (3) chronic complications of SJS / TEN. 6 marks

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