Pediatrics Flashcards
(145 cards)
4 y/o child presented with:
pruritic vesicular eruption on face, neck, trunk, extremities, and scalp. Ulcers in mouth. Febrile and flu-like 3 days prior. Lesions began as papules and then scabbed over.
Chicken pox/varicella
6 y/o patient presents with:
sudden onset high fever, body aches prior to rash that was initially macular around tongue and mouth then spread to body and became papular. Second fever within a week with umbilicated pustules. Pitted scars.
Smallpox
.Preschooler with a 2 day history of fever, sore throat, malaise. Vesicular lesions on erythematous bases on hands and feet. Ulcerations on throat.
Hand, foot, and mouth disease
5 y/o with fever, weepy eyes, HA, cough, rhinitis, pharyngitis, red papular rash on face. Three days rash has become confluent on face, generalized, involves palms and soles. Immunization status UNKNOWN.
Measles
.Unimmunized 2//yo with low grade fever, does not appear ill, erythematous maculopapular rash began on face and spread to include toes. Mildly pruritic.
German measles (rubella)
.14 month old with red papular morbilliform eruption, mostly on trunk. Rash appeared post-fever with no source. Cranky but WNL.
Roseola (exanthem subitum)
.12 month old otherwise healthy and UTD on vaccines, had mild febrile illness accompanied by diarrhea 1 wk ago. Rash is papular, erythematous, involving extensor surfaces of arms and legs as well as cheeks.
Gianotti Crosti (papular acrodermatitis)
6 y/o boy with HA, pharyngitis, fever for 48 hrs, fine papular sandpaper-like rash begun in groin and armpits and then generalized. Desquamation of fingers.
Scarlet fever
.9 y/o girl with “slapped” red cheeks a week prior to disseminated red, reticulated, lacy rash involving palms and soles. Afebrile, rash became brighter when bathing.
Fifth’s disease (parvo)
4 y/o with low grade fever, malaise, vomiting. Generalized, reticulated, lacy rash that was purpuric and appeared on hands and feet.
Parvovirus Gloves and Socks syndrome
7 y/o boy, ill-appearing, severe HA, fever, palpable purpuric rash on arms and legs. Nausea and pain in arms and legs.
Meningococcemia
Teenager, fever, exudative pharyngitis, fatigue. Morbilliform disseminated eruptions. May develop post amoxicillin?
Infectious mononucleosis
.14 month old with unilateral morbilliform eruption in left axilla that spread to upper arms and trunk. Resolved spontaneously within weeks.
Unilateral lateral thoracic exanthem
.This three year old developed honey crusted lesions around the nose and mouth following a recent cold. Mom had noticed a small “pimple” under the nose at first.
Impetigo
Afebrile two week old was otherwise well-appearing and feeding well, developed flaccid pus filled bullae on his suprapubic area. A mild irritant diaper rash produced the lesions.
Bullous Impetigo
.One year old with an erythematous, minimally scaly rash in the diaper area which spared the creases.
Irritant diaper dermatitis
Child presents with erythematous scaly diaper rash, most prominent in the creases. He also had a generalized scaly erythematous rash and yellowish scales in his scalp.
Seborrheic diaper dermatitis
Rash began after several episodes of diarrhea during a course of antibiotics. It is erythematous and involves the creases of the diaper area and also has satellite lesions.
Candidal diaper dermatitis
Teenaged wrestler noticed itchy annular lesion with a crusty border and flesh-colored center a week ago.
Tinea corporis
Otherwise healthy adolescent noticed that these hypopigmented scaly patches on his shoulders, neck, back, and chest became more pronounced in the summer months.
Tinea versicolor
pruritic papulovesicular rash developed two days after patient was helping with some yardwork.
Contact dermatitis
Rash began when infant was about one month old. Erythematous papular and symmetric on the cheeks, forehead, scalp, and trunk, sparing diaper area. Mom noticed rash flared with introduction of new food.
Eczema/Atopic
16 year old developed pruritic erythematous edematous papules and confluent plaques after a recent cold. She had all of her immunizations. She was taking ibuprofen for comfort for menstrual cramps and trying an herbal tea for comfort.
Urticaria
Initial scaly patch of erythema prior to papulosquamous eruption involving primarily the trunk. Red scaly papules and annular plaques, “christmas tree” distribution.
Pityriasis rosea
