Differential Diagnoses And Physical Examination

721 WordsApr 20, 20163 Pages
Differential Diagnoses and Physical Examination Differential diagnoses for the case study presented above include scarlet fever, measles, roseola, and Kawasaki disease (KD) (Glass, 2014). Scarlet fever presents within one to two days of the onset of symptoms from a group A streptococcal infection (Friedman, Scholes & Yoon, 2014). The rash associated with scarlet fever is diffuse, fine, erythematous, and blanches with pressure (Friedman et al., 2014). A strawberry-appearing tongue is also associated with scarlet fever (Friedman et al., 2014). Measles is associated with lethargy, high fevers, Koplik spots, and a maculopapular rash that spreads from the face and trunk to the extremities (Levin, 2014). Typically, the fevers will resolve within two to three days after the rash appears (Levin, 2014). Roseola is characterized by drowsiness, high fevers, febrile seizures, irritability, otitis media, mild diarrhea, and respiratory distress (Glass, 2014). Kawasaki disease is associated with fevers that persist for at least five days, non-exudative conjunctivitis, lesions or inflammation in the oral cavity, cervical lymphadenopathy, polymorphous exanthema, and extremity changes (Darst, Collins, & Miyamoto, 2014). Diagnostic criteria require fever and four other associated symptoms for the diagnosis of KD (Darst et al., 2014). Based on the case scenario, the writer is highly suspicious of KD, which also happens to be the most concerning diagnosis as it is associated with
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