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i-Human Olive Chaney, Final Diagnosis Exanthema Subitum (Roseola) | Latest Questions and Complete Solutions

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i-Human: Olive Chaney Assessment 1. Exanthema Subitum (Roseola). Olive’s symptoms of cough, runny nose, and a fever of 103 that resolved 2 days ago followed by the appearance of a rash that be... gan on her abdomen and spread to her arms and legs make this the leading diagnosis (Kaneshiro & Zieve, 2019; Trembly & Brady, 2019). The physical exam findings of a maculopapular pink rash to the abdomen and extremities further support this diagnosis (Kaneshiro & Zieve, 2019; Trembly & Brady, 2019). 2. Human Parvovirus 19 (Fifth Disease, Erythema Infectiosum). Olive’s symptoms of cough, runny nose, and fever accompanied by a rash make this diagnosis a consideration (Centers for Disease Control and Prevention, 2019). However, the rash in Fifth Disease is present on the face and has a characteristic “slapped cheek” appearance and may spread to the chest, back, buttocks, and extremities (Centers for Disease Control and Prevention, 2019). The physical exam findings of a maculopapular pink rash to the abdomen and extremities and absence of the classical slapped cheek appearance coupled with reports of the rash beginning on the abdomen, rule this diagnosis out. [Show More]

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