NR 602 IHuman -CASE- RASH QUESTION TO ASK
How can I help her today?
Does she have any other symptoms you would like to discuss?
What treatment has she had for the cough? Is she coughing any sputum?
What treatment
...
NR 602 IHuman -CASE- RASH QUESTION TO ASK
How can I help her today?
Does she have any other symptoms you would like to discuss?
What treatment has she had for the cough? Is she coughing any sputum?
What treatment has she had for the rash?
On what part of her body did the rash start and where did it spread?
Is her rash painful or itchy?
What treatment has she had for the rash?
Has she been having fevers?
When did the fever start?
How high is the fever?
Is she taking any over the counter medication?
How is her appetite any recent change?
Did she have any other problems two to four days ......... ?
4 many wet diapers does your child have per day?
How many stools diaper does your child have per day?
Does she have any allergies?
DIAGNOSIS
Exanthema subitum HHV 6/ roseola
Human parvovirus 19 Rubella (German measles)
Measles
URI
NO TEST REQUIRED
History
Reason for encounter: rash on abdomen, b/l UEs and b/l Les
History of present illness: fever started 3 days ago, stopped last evening
Cough and rhinorrhea started 3 days ago
ROS
General
(-) fever
(-) significant weight change
(-) significant appetite change
HEENT/neck
(+) rhinorrhea
(+) cough
CARD
(-)CP/pressure/discomfort
(-) decrease in activity
(-) SOB
RESP
(-) SOB
(-) wheezing
(-) difficulty catching a breath
(-) chronic cough
(-) sputum production
GI
diaper stools about 2 per day
GU
Diaper urine 4-5 per day
MSK….
NEUR
No history of seizures
INTEGUMENTARY/breast
(+) rash on abdomen, b/l UEs and b/l LEs
Psychiatric….
Endocrine
No history of diabetes, endocrine/thyroid problems
Hemolytic/lymp
No history of anemia
Allergic/Immunologic
No history of allergies, immunizations up to date
PMH
None
Hospitalizations/surgeries:
Born full term 38 wees GA. Born via NSVD. No complications during delivery or after birth
Preventative health
Growing and developing well. Meeting all developmental milestones.
Medications
none
Allergies
NKDA
Immunizations
all up to date
Social Hx
Lives in an apartment with both parents
Family Hx
Mother 32: healthy
Father 35: healthy
Skin/hair/nails
Inspection of skin:
PHYSICAL ASSESMENT
Skin is warm and dry. There is a maculopapular pink rash on abdomen and extremities. Normal skin
turgor
HEENT/neck:
Inspect eyes:
Eyelids: no ptosis, erythema or swelling:
Conjunctivae: pink, no discharge
Sclerae: anicteric
Orbital area: no edema, redness, tenderness or lesion noted.
Inspect pupils:
R pupil: normal reactive
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