FEVER IN CHILDREN PED RASHES

Question 1

T/F, fevers less than 42 degrees centigrade do not lead to brain damage?

Answer 1

T

Question 2

honey color crust, caused by S. progenies, S. aureus, starts under nose, auto inoculate?

*gentle scrubs, clip nails, compresses; mupirocin TID if localized for 5-7 days

Answer 2

impetigo

Question 3

dry pruritic skin, recent rise: 10-20% of all kids, equal in sexes; 90% by 5 yr old

if less than 2 months, most likely seborrhea; greasy scalp, retro auricular erythema

toddler: extensor flexural surfaces

short oral steroids for severe cases, like prednisone, consider oral abx prn if signs of superinfection

Answer 3

atopic dermatitis

Question 4

honey-color crust

causes: S. pyogenes, S. aureus

starts under nose, auto inoculate

gentle scrubs, clip nails, compresses

treat with mupirocin TID if localized for 5-7 days

what is this?

Answer 4

impetigo

Question 5

dry pruritic skin, erythematous, papular, scaling, lichenified, hyper pigmented, plaques, irritated

equal in sexes; 90% by 5 yr old

if <2 mos, most likely seborrhea; greasy scalp, retro auricular erythema

toddler: extensor flexural surfaces

short oral steroid burst for severe cases, consider oral abx if signs of superinfection

what is this?

Answer 5

atopic dermatitis

Question 6

circumscribed shape patch scaly border-hairless

Rx-imidazole class, allymines BID then qd x wk

treat 2x day til gone, then 1/d for a week

T. tonsurans-non fluoresces, older

oral griseofulvin x 4-6 weeks; take with fatty meal-better absorption

what is this?

Answer 6

tinea corporis

Question 7

how to treat dry, cracked itchy feet in kids?

Answer 7

moisture, steroid, cotton socks

Question 8

mimics tinea corporis, no scale

dorsum of hands and feet, high 3-6 yr, M=F unknown etiology resolves 90%, inject steroids only if disfigured

what is this?

Answer 8

granuloma annulare

Question 9

exquisitely tender erythematous plaques-ant tibia

seen in many conditions

strep #1, OCP use

coccidia-mycosis in western USA

what is this?

Answer 9

erythema nodosum

Question 10

which rash isn’t viral?

Answer 10

erythema migrans

Question 11

which disease was matched incorrectly?

scarlet fever and strep pharyngeal

Answer 11

see other side

Question 12

remember image of coxsackie A

Answer 12

image

Question 13

beware of what s/s for henoch schonlein purpura?

Answer 13

GI bleed

nephritis

Question 14

if rash >3-4 days, consider yeast

*consider 1% HC, maintain good hygiene with frequent changes, decrease wetness, wash with mild soap, use PJ

what is this disease?

Answer 14

chafing dermatitis

Question 15

superficial GABHS infection?

Answer 15

perianal cellulitis