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Paediatric Rashes

Paediatric, Rashes, dermatology

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Paediatric Rashes

  1. 1. The common and the dangerous
  2. 2.  Why does an adult ED Dr have to know; • • • • • Common paediatric presentation Useful knowledge for the lay consult Frequent adult fast track patient presentation Knowledge of at risk contacts Recognition is 99% of the problem, treatment/advice is usually simple
  3. 3.    Nomenclature of dermatology Classification system of different rashes Management
  4. 4.  Pattern recognition • • • • Age group Progression of rash Associated symptoms Lesions  Type  Distribution  Special features
  5. 5.    8yo, fever, headache then rash Explosion of crops of lesions, first face/scalp, then trunk and limbs over 1 day Spares palms and soles
  6. 6.   10yo, coryza, conjunctivitis, cough, fever Maculopapular rash, starts behing ears, descends, becomes confluent on upper body
  7. 7.    5yo girl, fever, arthralgias, malaise Day 3 rash on face, fevers resolved Day 7 lacy rash on body
  8. 8.    4yo boy Fever, coryza, lethargy, mild diarrhoea Painful lesions in/around mouth
  9. 9.   1yo, high fever, irritable Day 3, florid rash, fever abates
  10. 10.   8yo, sore throat, fever Day 2 – rash on trunk, spreads widely
  11. 11.    3yo girl, Asian descent 3 days high fever, irritable, rash = lower abdo and groin, hands and feet Mild transaminitis, high platelets
  12. 12.     4yo, non blanching rash on lower limbs Painful feet, mildly swollen Afebrile, systemically well 1 week post URTI
  13. 13.    14 yo girl, onset of rash over 1 week, been present for 3 weeks Seen 2 GPs Systemically well, no other Sx
  14. 14.    5yo boy, African descent Referred by GP with massive painless abscess on scalp for surgical review Systemically well
  15. 15.   3yo, 1 week post first coldsore Onset of rash, mildly itchy, mild fever, systemically well
  16. 16.    Progression of rash Associated symptoms Be a detective! Look in/at the; • Mouth • Hands and feet • Nappy area and creases

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