Pediatric Rash

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Cough, coryza, conjunctivitis
Koplik spots
Rash head to feet
High fever for 3 days
- Measles (rubeola)
- Tx - Vit A
Posterior cervical lymphadenopathy
Rash face to feet
Polyarthritis
Low grade fever for only 1 day

Rubella
Oral vesicles on buccal mucosa
Rash on hands/feet/butt
- Coxsackie - hand, foot, mouth dz
- Tx - supportive
Sandpaper rash, spares palms/soles
Strawberry tongue
Desequamation of hands/feet

Scarlet fever - group A strep
Sudden high fever (>102) for 3 days
Child looks fine, plays normally
When fever disappears, rash starts on trunk
- Roseola Infantum - HHV-6
- Tx - self-limited
Unilateral cervical lymphadenitis with cat exposure

Cat scratch fever - Bartonella henselae
Loud coughing with inspiratory whoop
Post-tussive emesis
- Pertussis
- Tx - azithromycin to patient and close contacts
- -isolation from school until 5 day antibx
Barking cough
- Croup
- Tx - O2, racemic epi