Pediatric Exanthems An exanthem is a skin manifestation or rash caused by an underlying infectious process. When children present with a skin rash, and/ or fever, it is important to differentiate a common viral or bacterial exanthem, from a serious, life-threatening illness that may require immediate management. The particular form or shape of an exanthem may provide clues of the underlying illness. Some helpful resources that explain the characteristics of pediatric exanthems include: • https://www.aad.org/File%20Library/.../viral-exanthems-module.ppsx • https://childrensnational.org/choose-childrens/conditions-and-treatments/skin-disorders/viral-exanthems-rashes • http://www.physicianspractice.com/articles/rashes-and-fever-children-sorting-out-potentially-dangerous-part-2 • http://www.mdedge.com/clinicianreviews/article/102955/dermatology/classic-childhood-exanthems/page/0/1 …show more content…
GAS produces an erythrogenic toxin that damages capillaries and produces an erythematous macular rash with sandpaperlike texture (Dhar, 2015). I see more cases of scarlet fever during the spring season, typically in children attending to daycare. Besides the characteristic, blanching, orange-red skin eruption that feels like sandpaper, the red-strawberry tongue presentation is very common. In scarlet fever, a flushed face with circumoral pallor helps me differentiate this medical condition from the representative hyperemic cracked lips seen in Kawasaki disease (Bryant & Lester,
Patient is a 9 year old adolescent male, presents with a 2 day history of itching encrusted sores especially around the mouth area. Parent is using OTC antibiotic ointment with no improvement, no recent history of fever. Parent states that pat recently visited a petting zoo
After 12-36 hours, any red spots will develop into yellowy-red ulcers (lesions) in your mouth, around the roof of your mouth, tongue and inside of your cheeks. These ulcers may be sore and uncomfortable, making it difficult to eat, drink and swallow.
Scarlet fever and diphtheria among many others were two of the most common diseases to effect children in the early part of the 1900s. Scarlet fever occurred mainly in those between the ages of 2 and 8, and was spread by droplets from carriers and affected individuals. Despite sore throat, headache, and fever, with red spots in the mouth and on the body, children would often continue to play with friends in the street and to mix with neighbours, thus allowing the disease to spread. Diphtheria was likewise highly contagious, generally affecting the throat but occasionally other mucous membranes and the skin.
Institutions that offer health care play an important role in America’s society. Many of these institutions treat all kinds of diseases, but some medical facilities specialize not only according to the illness but also to the age group that is treated. One such institution is St. Jude’s Children’s Hospital which is located in Memphis, Tennessee. St. Jude investigators have the freedom to focus on making discoveries to find cures and saving children’s lives. St. Jude is leap in the right direction for caring and helping children with cancer.
If a streptococcal infection such as pharyngitis or scarlet fever is left untreated, there is a small (~3%) chance that within approximately 20 days, the patient will present with rheumatic fever. After the first bout of rheumatic fever, if the host acquires a second untreated S. Pyogenes infection, the chance of coming down with rheumatic fever jumps substantially to ~50%. Most often this secondary disease will strike people aged 6-15 years old, roughly 20 days after the streptococcal infection, with a 2-5% mortality rate. One of the major diagnostic symptoms of this disease is Erythema Marginatum, snake- or ring-like eruptions covering the trunk, upper arms, and legs. Other symptoms include fever, arthritis (elbows, knees, wrists, and ankles), swollen joints, pain in the abdomen, nodules
Many urgent care facilities are open 24 hours a day, seven days a week, so if your child is injured or gets sick on a weekend, you don't have to wait until your doctor's office is open to have them treated. You can take them to the facility and have their illness diagnosed or injury accessed right away. The quicker that your child can be seen will help them feel better sooner and recover
The issue of slavery became even more prominent throughout the major changes the nation faced post Civil War. Many books and personal narratives were published and passed down to generation after generation. Famous authors used their unique writing style and abilities to illustrate the harsh reality of slavery. The narrative of The Life of Frederick Douglass and The Adventures of Huckleberry Finn were written to portray all Southerners as ignorant and inhumane beings. Both writers, Frederick Douglass and Mark Twain, became advocates for those slaves who could not speak out among the rest or publicize the truth themselves.
BB’s skin presents as pink, warm and dry. No obvious signs or symptoms of abnormal bruising or lesions present however, the patient states that the skin has of late has
Scarlet fever is a bacterial infection that causes a red rash on the skin. It is caused by a toxin producing organism called Streptococcus pyogenes. This organism is rarely seen in well developed countries. The age group it affects is typically six to twelve year olds, however; all age groups can have the infection. The modern form of scarlet fever “...in children is now causing toxic shock-like syndrome (TSLS), an acute and
The trend for hiring more part- time employees does save companies money and provides opportunities for people who want to work. I work for BI-LO in the deli department. After losing the job that I thought would be the one to carry through to retirement, I really didn’t think that getting another “good Job” would be very difficult. I found the looking for a job, during this time in our history was very disheartening and rejection made me feel defeated. Finally, I was able to get a part time job at the Piggly Wiggly working nights in the deli.
“Is your face always that red?” I had heard this question hundreds of times throughout my life by family, friends, and the occasional stranger, but never by a medical professional. So when the physician assistant I had been seeing to treat a recurring case of strep throat asked me this same question, I thought she was just making an innocent inquiry like so many others had before. I gave her the same answer I gave everyone who asked. “Yes, sometimes it gets worse when I’m stressed or if I’m in the sun, but for the most part it stays close to this shade of red.”
During the 1940’s in America, times were hard. It was a time of war. In this period of history, people found themselves looking for peace and innocence. John Knowles’s A Separate Peace illustrates a boarding school, one of the only places left to find peace, where the main characters, Gene and Phineas, face their own internal wars with each other. Starting out their friendship seems strong and everlasting but as the novel progresses, like all friendships, the fire between them seems to dwindle. Although they share the goal of excelling, Phineas and Gene clearly differ in athletics, academics, and personality.
Dermatitis is a general term that describes an inflammation of the skin. There are different types of dermatitis, including seborrheic dermatitis and atopic dermatitis (eczema). Although the disorder can have many causes and occur in many forms, it usually involves swollen, reddened and itchy skin. (www.umm.edu/altmed/articles/dermatitis-000048.htm)
Scarlet fever is a bacteria infection. The symptoms are a red rash on the body, fever, and a sore throat. It is an interesting fact that the same bacteria that causes strep throat causes scarlet fever. And I’m sure we’ve all had strep throat at some time! But in the past, scarlet fever killed mostly young children, nearly 95%, because children don’t have a strong immune system that is able to fight back against such a strong disease. There is no vaccine for scarlet fever but there are antibiotics to treat it. Also, improved hygiene such as washing hands frequently, and also better health care has stopped the disease from spreading and killing as it once did. However, many poor developing countries still struggle with with deadly
When children or young people are unwell or injured inform the designated first aider, ensure the surrounding environment is safe. Assess signs and symptoms and take appropriate action and inform parent/carers. For e.g. a child is not acting themselves, feels hot to touch. Then remove clothing as necessary, use a cold flannel to cool them down. Make them comfortable and take their temperature. Ensure this is recorded in an incident log. Inform the parent/carer that the child is unwell and to come and collect them if