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NU665B_Week 6_iHuman_Olive Chaney1.

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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 began 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. 3. Measles. Olive’s symptoms of cough, fever, runny nose, and rash make this diagnosis a consideration (Centers for Disease Control and Prevention, 2020a). However, the lack of physical examination findings of red and watery eyes, Koplik spots, and the pattern of Olive’s rash (spreading from abdomen to arms and legs versus from the head downward) rule this diagnosis out (Centers for Disease Control and Prevention, 2020a). Lastly, Olive is up-to-date on her immunizations making this diagnosis less likely. [Show More]

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